Individual provider · Type 1 NPI

Ebony Lauren Manzano, LSW

Clinical Social Worker · Huntersville, NC

NPI number 1073368783 Active

Practice location

9541 Julian Clark Ave Ste 208
Huntersville, NC 28078-3486

Mailing address

PO Box 53
Phillipsburg, NJ 08865-0053

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X44SL06985900 (NJ)
School Social Worker 1041S0200X01739993 (NJ)
Clinical Social Worker Primary 1041C0700XP020429 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073368783

Ebony Lauren Manzano, LSW's National Provider Identifier is 1073368783, issued on Apr 17, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Huntersville, NC. The record was last updated on Apr 17, 2024.