Active NPI
Anthony Manley-Rook, LCSW
- Clinical Social Worker
- Ahoskie, NC
National Provider Identifier
1740205673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003507
- Practice address
- 228 Main St E
Ahoskie, NC 27910-3418 - Phone
- (252) 209-0388
- Fax
- (252) 209-0488
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C003507 | NC | Primary |
Addresses
Primary practice location
228 Main St E
Ahoskie, NC 27910-3418
Mailing address
PO Box 885
Ahoskie, NC 27910-0885
Phone (252) 209-0388
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005390 | Medicaid | NC | |
| 1385N | Other | NC | BLUE CROSS/ BLUE SHEILD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003507 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1740205673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 885",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279100885",
"telephone_number": "252-209-0388",
"fax_number": "252-209-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 MAIN ST E",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279103418",
"telephone_number": "252-209-0388",
"fax_number": "252-209-0488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY-ROOK",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005390",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHEILD",
"identifier": "1385N",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ahoskie, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.