Individual provider Active NPI

Shanna Ruth Manjang, LCSW

  • Clinical Social Worker
  • Draper, UT
National Provider Identifier
1841097268
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
358365-3502 Issued in UT
Practice address
949 E 12400 S Ste A2
Draper, UT 84020-9333
Phone
(385) 524-6665
NPI assigned
Feb 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 358365-3502 UT Primary

Addresses

Primary practice location

949 E 12400 S Ste A2
Draper, UT 84020-9333

Mailing address

949 E 12400 S Ste A2
Draper, UT 84020-9333
Phone (385) 524-6665

Other names 1

  • Shanna Ruth Cappo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
358365-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Open Book Counseling PLLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

949 E Pioneer Rd
Ste A2
Draper, UT 84020
Phone (385) 524-6665

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1841097268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 E 12400 S STE A2",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209333",
            "telephone_number": "385-524-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 E 12400 S STE A2",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209333",
            "telephone_number": "385-524-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJANG",
        "first_name": "SHANNA",
        "middle_name": "RUTH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "358365-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "CAPPO",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.