Active NPI
Diana Manzo, LBSW
- Social Worker
- Austin, TX
National Provider Identifier
1730366444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 35855
- Practice address
- 13105 Billiem Dr
Austin, TX 78727-3260 - Phone
- (512) 837-8800
- NPI assigned
- Jan 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 35855 | TX | Primary |
Addresses
Primary practice location
13105 Billiem Dr
Austin, TX 78727-3260
Mailing address
13105 Billiem Dr
Austin, TX 78727-3260
Phone (512) 837-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 176570301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35855 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1730366444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13105 BILLIEM DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787273260",
"telephone_number": "512-837-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13105 BILLIEM DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787273260",
"telephone_number": "512-837-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZO",
"first_name": "DIANA",
"credential": "LBSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-24",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "35855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176570301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.