Individual provider Active NPI

Londa J Manteufel, LSW

  • Social Worker
  • Elko, NV
National Provider Identifier
1902289341
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2593S Issued in NV
Practice address
1825 Pinion Rd
Elko, NV 89801-8355
Phone
(775) 738-8021
Fax
(775) 738-8842
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2593S NV Primary

Addresses

Primary practice location

1825 Pinion Rd
Elko, NV 89801-8355

Mailing address

624 Shadybrook Dr
Spring Creek, NV 89815-5520
Phone (775) 738-8021

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
2593SNVMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1902289341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 SHADYBROOK DR",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898155520",
            "telephone_number": "775-738-8021",
            "fax_number": "775-738-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 PINION RD",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018355",
            "telephone_number": "775-738-8021",
            "fax_number": "775-738-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTEUFEL",
        "first_name": "LONDA",
        "middle_name": "J",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "2593S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.