George Herman Mangual, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27419 Issued in CA

Practice address

Substance Abuse Counseling Ctr
4025 Tripoli Avenue, BLDG 14
San Diego, CA 92140-5000

Phone

(619) 524-1912

NPI assigned

Mar 27, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• George Mangual Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1770859415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80561",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921380561",
            "telephone_number": "619-534-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUBSTANCE ABUSE COUNSELING CTR",
            "address_2": "4025 TRIPOLI AVENUE, BLDG 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921405000",
            "telephone_number": "619-524-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUAL",
        "first_name": "GEORGE",
        "middle_name": "HERMAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "2400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "MANGUAL",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Madison Jean Mangione, MD
• Fareed Mangisto
• Neeraj Mangla, MD
• Eunice Gregorio Manglicmot, NP
• Anthony Mangrobang
• Celeste Mangune, PHARM.D
• Richard G. Mangusan, PHARMACY TECHNICIAN
• Ian Tran Manh
• Lynn P. Manheim, P.N.P.
• Parvin Pam Mani, M.D.

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.