Active NPI
Gladys J. Mannas-Stevens, LCSW
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1952419780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004710
- Practice address
- 4822 Albemarle Rd
Suite 112
Charlotte, NC 28205-6668 - Phone
- (704) 562-7657
- Fax
- (704) 947-2278
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004710 | NC | Primary |
Addresses
Primary practice location
4822 Albemarle Rd
Suite 112
Charlotte, NC 28205-6668
Mailing address
5817 Coopers Ridge LN
PH
Charlotte, NC 28269-1032
Phone (704) 562-7657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003723 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004710 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S.T.E.P's Developmental Academy, Inc. | Current | Accepting new patients | |
| Gladys J Mannas-Stevens | Clinical | Past | Accepting new patients |
Locations
4822 Albemarle Rd
Ste 112
Charlotte, NC 28205
Phone (704) 532-5757
4822 Albemarle Rd
#112B
Charlotte, NC 28205
Phone (704) 532-5757
Organizations & group practices 2
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.
-
dba Pinnacle Group Child & Family Counseling Services
- Clinical Social Worker
- Charlotte, NC
- NPI 1619168127
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1437284494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1952419780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5817 COOPERS RIDGE LN",
"address_2": "PH",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282691032",
"telephone_number": "704-562-7657",
"fax_number": "704-947-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4822 ALBEMARLE RD",
"address_2": "SUITE 112",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282056668",
"telephone_number": "704-562-7657",
"fax_number": "704-947-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNAS-STEVENS",
"first_name": "GLADYS",
"middle_name": "J.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003723",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.