Active NPIIndividual provider

Ebony L Manzano, LSW

Social Worker, Clinical in Huntersville, North Carolina

NPI Number1073368783
Practice location
9541 Julian Clark Ave Ste 208, Huntersville, NC 28078-3486
Fax
—
Last updated
April 17, 2024

Ebony Lauren Manzano is a Social Worker, Clinical based in Huntersville, NC. Ebony Lauren Manzano practices in Huntersville, NC and has the professional credentials of LSW. The NPI Number for Ebony Lauren Manzano is 1073368783 and holds a License No. 44SL06985900 (NJ). The current practice location address for Ebony Lauren Manzano is 9541 Julian Clark Ave Ste 208, Huntersville, NC 28078-3486 and can be reached out via phone at 704-796-9037.

Provider Profile Details

NPI Number
1073368783
Provider Name
Ebony Lauren Manzano
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
9541 Julian Clark Ave Ste 208, Huntersville, NC 28078-3486
Phone Number
704-796-9037
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 17, 2024
Last Update Date
April 17, 2024
Certification Date
April 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
9541 Julian Clark Ave Ste 208
Huntersville, NC 28078-3486
Zip
28078-3486
Phone Number
704-796-9037
Huntersville, NC 28078Get directions →

Provider Business Mailing Address Details

Address
Po Box 53
Phillipsburg, NJ 08865-0053
City
Phillipsburg
State
NJ
Zip
08865-0053
Phone Number
201-772-8417

License Information

License Number (1)
44SL06985900
License State (1)
NJ
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
01739993
License State (2)
NJ
Taxonomy (2)
Social Worker, School · 1041S0200X
License Number (3)
P020429
License State (3)
NC
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ebony L Manzano, LSW?

The NPI number of Ebony L Manzano, LSW is 1073368783. It was assigned on April 17, 2024 and is currently active in the NPPES registry.

What is the specialty of Ebony L Manzano, LSW?

Ebony L Manzano, LSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL06985900.

Where does Ebony L Manzano, LSW practice?

The practice location is 9541 Julian Clark Ave Ste 208, Huntersville, NC 28078-3486. The office can be reached at 704-796-9037 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073368783 directly on the NPPES registry website.

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