Organization Active NPI

Marissa Manzi, LCSW, LLC

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1750736070
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8328 Issued in CT
Legal business name
MARISSA MANZI, LCSW, LLC
Practice address
8 Lowell Rd
West Hartford, CT 06119-1817
Phone
(203) 996-6794
NPI assigned
Apr 25, 2016
Last updated
Apr 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Marissa Manzi, LCSW
Title
Clinician/Owner
Phone
(203) 996-6794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 8328 CT Primary

Addresses

Primary practice location

8 Lowell Rd
West Hartford, CT 06119-1817

Mailing address

14 Jefferson St Apt a
Manchester, CT 06042-2064
Phone (203) 996-6794

National Provider Directory

National Provider Directory

Locations

8 Lowell Rd
West Hartfrd, CT 06119
Phone (203) 733-9600

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1750736070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JEFFERSON ST APT A",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422064",
            "telephone_number": "203-996-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LOWELL RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191817",
            "telephone_number": "203-996-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA MANZI, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "MANZI",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "203-996-6794",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.