Individual provider Active NPI

Jamie McMannes, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1952765984
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011511 Issued in NC
Practice address
801 Green Valley Rd
Greensboro, NC 27408-7021
Phone
(336) 832-4777
Fax
(336) 832-4779
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C011511 NC Primary

Addresses

Primary practice location

801 Green Valley Rd
Greensboro, NC 27408-7021

Mailing address

801 Green Valley Rd
Greensboro, NC 27408-7021
Phone (336) 832-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181030003364 NC Practitioner - Clinical Social Worker 0749533222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

912 3Rd St
Suite 102
Greensboro, NC 27405-6967
Phone (336) 271-2054

930 3Rd St
Greensboro, NC 27405-6967
Phone (336) 890-3200

945 Golf House W Rd
Whitsett, NC 27377-9260
Phone (336) 449-4946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Aug 21, 2018 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Aug 21, 2018 Accepting new patients

Locations

801 Green Valley Rd
Greensboro, NC 27408
Phone (336) 282-4840

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

300 E Wendover Ave
Fl 3
Greensboro, NC 27401
Phone (336) 663-5059

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.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1952765984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 GREEN VALLEY RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087021",
            "telephone_number": "336-832-4777",
            "fax_number": "336-832-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GREEN VALLEY RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087021",
            "telephone_number": "336-832-4777",
            "fax_number": "336-832-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANNES",
        "first_name": "JAMIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.