Active NPI
Dea Nicole Manges
- Social Worker
- Elyria, OH
National Provider Identifier
1972192268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2309988
- Practice address
- 347 Midway Blvd Ste 210
Elyria, OH 44035-2496 - Phone
- (440) 324-5555
- NPI assigned
- Jan 12, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2309988 | OH | Primary |
Addresses
Primary practice location
347 Midway Blvd Ste 210
Elyria, OH 44035-2496
Mailing address
314 High St
Elyria, OH 44035-3144
Phone (440) 308-8665
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.2309988 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1972192268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 HIGH ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440353144",
"telephone_number": "440-308-8665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 MIDWAY BLVD STE 210",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440352496",
"telephone_number": "440-324-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGES",
"first_name": "DEA",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2309988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.