Emanuel Mannie Alston Jr., LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16610 Issued in SC

Practice address

77 Hazzard Creek VLG # Villagec
Ridgeland, SC 29936-8266

Phone

(843) 645-7700

NPI assigned

Aug 3, 2013

Last updated

Apr 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: integrativetherapyinc.emanuelalston@157812.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrative Therapy, Inc.

  • Clinical Psychologist
  • Mount Pleasant, SC
  • NPI 1639868524
  NPD (past)
• Wright Directions, LLC

  dba Wright Directions Family Services

  • Community/Behavioral Health Agency
  • Ridgeland, SC
  • NPI 1306283288
  NPD (past)
• Wright Directions, LLC

  dba Wright Directions Family Services

  • Community/Behavioral Health Agency
  • Ridgeland, SC
  • NPI 1629361217
  NPD (past)

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

{
    "created_epoch": "1375488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1811329659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 DULAMO RD",
            "city": "ST HELENA IS",
            "state": "SC",
            "postal_code": "299203309",
            "telephone_number": "888-446-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HAZZARD CREEK VLG # VILLAGEC",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368266",
            "telephone_number": "843-645-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Dulamo Rd",
            "address_purpose": "LOCATION",
            "city": "St Helena Is",
            "state": "SC",
            "postal_code": "299203309",
            "country_code": "US",
            "telephone_number": "888-446-2214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Sharpestowne Ct",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294667564",
            "country_code": "US",
            "telephone_number": "854-205-6386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSTON",
        "first_name": "EMANUEL",
        "middle_name": "MANNIE",
        "name_suffix": "Jr.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-03",
        "last_updated": "2024-04-01",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "16610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1516 Grays Highway SC Opco LLC
• 4Ola Health Solutions, LLC
• Romeo Saclolo Abangan Jr., PHARMD
• Alexandra Acheson
• Active SC Two, Inc. (Ridgeland Active Day Center)
• Altea Medical South Carolina LLC
• Anna Angelo
• Fredericka Armstrong, LMSW
• Aspire Therapy Services LLC
• Garry W Baldwin, DC

• Clinical Social Worker in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.