Shanna Manger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05639500 Issued in NJ

Practice address

15000 Midlantic Dr
Suite 101
Mount Laurel, NJ 08054-1573

Phone

(856) 380-2770

Fax

(856) 778-0636

NPI assigned

Jan 28, 2016

Last updated

Jan 28, 2016By the provider in NPPES

Sex

Female

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Meridian Counseling Services, LLCGroup PAC ID 3173835097, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Meridian Counseling Services, LLC

  • Clinical Social Worker
  • Cherry Hill, NJ
  • NPI 1962550210
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1841657327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 MIDLANTIC DR",
            "address_2": "SUITE 101",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541573",
            "telephone_number": "856-380-2770",
            "fax_number": "856-778-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 MIDLANTIC DR",
            "address_2": "SUITE 101",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541573",
            "telephone_number": "856-380-2770",
            "fax_number": "856-778-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGER",
        "first_name": "SHANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05639500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick J Mahoney, DC, MS
• Tishanna Majette, PHD
• Joseph Major
• Making Friends Social Center
• Nathaniel Maloney, LPC
• Geri Lynn Manley, APRN, PMH-BC, CHC
• Sara Mansour
• Many Years Health and Wellness
• Ilene Maracallo
• Jaclyn Marangella

• Clinical Social Worker in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.