Lynda R. Mance, L.C.S.W., CEAP, SAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6689 Issued in FL

Practice address

12058 San Jose Blvd
Suite 703
Jacksonville, FL 32223-8666

Phone

(904) 260-0454

Fax

(904) 260-0044

NPI assigned

May 23, 2005

Reactivated

Mar 29, 2006

Last updated

Jan 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mandarin Counseling IncGroup PAC ID 0143397281, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mandarin Counseling Inc

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1811187271
  Medicare reassignment Care Compare group NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment NPD
• Vericare of Florida, Inc.

  • Clinical Psychologist
  • Lakeland, FL
  • NPI 1851331086
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1730182940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD",
            "address_2": "SUITE 703",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238666",
            "telephone_number": "904-260-0454",
            "fax_number": "904-260-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD",
            "address_2": "SUITE 703",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238666",
            "telephone_number": "904-260-0454",
            "fax_number": "904-260-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCE",
        "first_name": "LYNDA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W., CEAP, SAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-01-24",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lianne Mananquil, CAA
• Almira Manaois, P.T.
• Adrienne Manasco, PSYD
• Gary R Manasse, D.M.D., P.A.
• Miguel Mancao III
• Alisha M Mancebo
• Clarissa Mancheno, CRNA
• Andrew Benjamin Mancia, DMD
• Andrew Mancusi-Ungaro, M.D.
• Melissa Snyder Mancuso, M.D.

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.