Victor John Manzon, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801059772 Issued in MI

Practice address

834 King Highway
Suite 106
Kalamazoo, MI 49001-2578

Phone

(269) 341-4422

Fax

(269) 341-4433

NPI assigned

Apr 25, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1790904969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2588",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490812588",
            "telephone_number": "269-341-4422",
            "fax_number": "269-341-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 KING HIGHWAY",
            "address_2": "SUITE 106",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012578",
            "telephone_number": "269-341-4422",
            "fax_number": "269-341-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZON",
        "first_name": "VICTOR",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Thomas Mansfield, DO
• Taha Mansoor, MD
• Miriam Ibrahim Mansour, MD
• Lindsey Mantione, RN
• Katie Mae Manuel, LMSW
• Kimberly Mao, MD
• Sikhanyiso Maphosa, NP-BC
• Marathon Health LLC
• Marathon Health, LLC
• Angela Kathryn Marchi, MA

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.