Joseph Mandwee

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801108350 Issued in MI

Practice address

3496 E Lake Lansing Rd Ste 100
East Lansing, MI 48823-6222

Phone

(901) 290-7961

Fax

(517) 913-6154

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Sunset Voyage LLC

  dba Blooming Minds Therapy

  • Clinical Social Worker
  • East Lansing, MI
  • NPI 1588134878
  NPD

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1881290757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540337",
            "telephone_number": "517-442-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 E LAKE LANSING RD STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236222",
            "telephone_number": "901-290-7961",
            "fax_number": "517-913-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDWEE",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth C Malsheske, PA-C
• Oktai Mamedov, M.D.
• Katherine Mamo, FNP
• Ramy Mana, PHARMD
• Ryley Paul Mancine, DO
• Melissa Anne Manninen, PH.D.
• Manual Physical Therapy Specialists, LLC
• Steven Frederick Manuel, D.C
• Li Mao
• Vickie Mara

• Clinical Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.