Active NPI
Dina Beth McManus, LCSW-R
- Clinical Social Worker
- Albany, NY
National Provider Identifier
1972791945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R058065
- Practice address
- 391 Western Ave
Albany, NY 12203-1491 - Phone
- (518) 242-4731
- Fax
- (518) 242-4747
- NPI assigned
- Oct 4, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R058065 | NY | |
| Clinical Social Worker | 1041C0700X | C017297 | NC | |
| Clinical Social Worker | 1041C0700X | R058065 | NY | Primary |
Addresses
Primary practice location
391 Western Ave
Albany, NY 12203-1491
Mailing address
251 New Karner Rd
Albany, NY 12205-4627
Phone (518) 698-4433
Other practice location 1
251 New Karner Rd
Albany, NY 12205-4627
Phone (518) 698-4433
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 |
|---|---|---|---|
| R058065 | NY | MD | Social Worker |
| C017297 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvin Behavioral Health Ma PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1972791945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 NEW KARNER RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122054627",
"telephone_number": "518-698-4433",
"fax_number": "518-242-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 WESTERN AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122031491",
"telephone_number": "518-242-4731",
"fax_number": "518-242-4747"
}
],
"practiceLocations": [
{
"address_1": "251 New Karner Rd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122054627",
"country_code": "US",
"telephone_number": "518-698-4433",
"fax_number": "518-242-4747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMANUS",
"first_name": "DINA",
"middle_name": "BETH",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-04",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R058065",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C017297",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R058065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.