Manifesting Me Wellness a Licensed Clinical Social Worker Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MANIFESTING ME WELLNESS A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Doing business as

Manifesting ME Wellness

Practice address

2930 W Imperial Hwy
Inglewood, CA 90303-3143

Phone

(424) 888-0447

NPI assigned

Jul 6, 2021

Organization subpart

No

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

Authorized official

Name

Katrina Long, LCSWNPI 1538442058

Title

Founder

Phone

(424) 888-0447

Specialties & licenses 1

Addresses

Other names 1

• Manifesting ME Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrina Long

  • Social Worker
  • Inglewood, CA
  • NPI 1538442058
  NPD Authorized official

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1811568363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900090302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HWY",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033143",
            "telephone_number": "424-888-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFESTING ME WELLNESS A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "424-888-0447",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manifesting ME Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonia Maldonado, LCSW
• Sri Lakshmi Priyanka Mallempalli, MD
• Erica Malone
• Kimberly Dawn Malone, M.D.
• Manchester Community Medical Center
• Lisa Mann
• Mable Alyse Manning, IMF81596
• Gabriela Marcus, ASW
• Lia Maresca, RN
• Gabriella Marin, LVN

• Clinical Social Worker in Inglewood, CA
• Providers in Inglewood, 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 Jul 6, 2021; 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.