Emily Ava Manaen, MA, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28302 Issued in MN

Practice address

4801 1/2 Nicollet Ave
Minneapolis, MN 55419-5510

Phone

(612) 217-0315

Fax

(612) 436-2606

NPI assigned

Sep 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Haven Counseling and Consulting, PLLC

  • Adult Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1992575963

  Social Worker

  NPD Authorized official
• Center for Victims of Torture - Bethesda

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1124420146
  NPD (past)
• Center for Contextual Change

  • Clinical Social Worker
  • Skokie, IL
  • NPI 1659382521
  NPD (past)

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1871994715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 1/2 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195510",
            "telephone_number": "612-217-0315",
            "fax_number": "612-436-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 1/2 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195510",
            "telephone_number": "612-217-0315",
            "fax_number": "612-436-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAEN",
        "first_name": "EMILY",
        "middle_name": "AVA",
        "name_prefix": "Mrs.",
        "credential": "MA, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150015108",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Malovrh, DPT
• Valmore Malskis, DDS
• Azar Hadi Ali Maluki, MD
• Mama Possum LLC
• Maru Kebeda Mamo
• William David Manahan, MD
• Michelle Ann Manalang, M.D.
• Adrienne B. Manbeck, BA
• Nicoleta Elena Manciu, M.D.
• Randy Mancuso, OPA-C

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.