Individual provider Active NPI

Christine Diane Manns, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1932516705
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1984 Issued in NH
Practice address
150 Huntington Ave
Boston, MA 02115-4808
Phone
(857) 364-6867
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 1984 NH Primary

Addresses

Primary practice location

150 Huntington Ave
Boston, MA 02115-4808

Mailing address

150 S Huntington Ave
Boston, MA 02130-4817
Phone (857) 364-6867

Other practice location 1

15 Dartmouth Dr
Suite 202
Auburn, NH 03032-3982
Phone (603) 623-4204 ext. 5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20221227000219 TX Practitioner - Clinical Social Worker 3173993748 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wagner Indian Health Service Health CenterGroup PAC ID 6305758483, 15 clinicians

Practice addresses (Care Compare)

111 Washington Ave NW
Wagner, SD 57380-4300
Phone (605) 384-4820

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
68.64
Promoting interoperability
91
Improvement activities
40
Cost
86.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1984NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Dec 24, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Feb 22, 2024 Accepting new patients
Woodrow Wilson Keeble Memorial Health Care Center CurrentSince Mar 6, 2024 Accepting new patients
Rosebud Indian Health Service CurrentSince Feb 20, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Feb 22, 2024 Accepting new patients
Rosebud Indian Health Service CurrentSince Feb 20, 2024 Accepting new patients
Wagner Indian Health Service Health Center CurrentSince Jan 21, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients

Locations

1300 Hospital Loop
Belcourt, ND 58316

4100 W 150th St
#3
Cleveland, OH 44135

119 S 1st Ave
Martin, SD 57551
Phone (605) 685-2800

100 Lake Traverse Dr
Sisseton, SD 57262

111 Washington Ave NW
Wagner, SD 57380
Phone (605) 384-3621

Organizations & group practices 9

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1932516705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021304817",
            "telephone_number": "857-364-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021154808",
            "telephone_number": "857-364-6867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Dartmouth Dr",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NH",
            "postal_code": "030323982",
            "country_code": "US",
            "telephone_number": "603-623-4204 x5454",
            "fax_number": "603-623-5541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNS",
        "first_name": "CHRISTINE",
        "middle_name": "DIANE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.