Mrs. Kelli Ann Manzano
Clinical Social Worker
142 N Queen St
Martinsburg
, West Virginia 25401
Mrs. Kelli Ann Manzano
Clinical Social Worker
142 N Queen St
Martinsburg
, West Virginia 25401
(304) 760-5945
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mrs. Kelli Ann Manzano
- 142 N Queen St
- Martinsburg, WV
- Zip : 25401-3312
- Fax : (304) 760-5945
- Phone : (304) 596-0486
Second Address
- Mrs. Kelli Ann Manzano
- 142 N Queen St
- Martinsburg, WV
- Zip : 25401
- Fax : (304) 760-5945
- Phone : (304) 596-0486
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Is Mrs. Kelli Ann Manzano a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1041C0700X | Clinical Social Worker | 17093 | MD |
| Y | 1041C0700X | Clinical Social Worker | DP00944880 | WV |
National Provider Identifier
| NPI | 1003146978 |
|---|---|
| Provider Name | Mrs. Kelli Ann Manzano |
| First Address | Martinsburg, WV 25401-3312 |
| Second Address | Martinsburg, WV 25401 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2009 |
| Last Update Date | 13/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.