Individual provider · Type 1 NPI

Isaac Gray Manis Iii, MSW, LCSW

Clinical Social Worker · Lexington, KY

NPI number 1740363324 Active

Practice location

245 Fountain Ct Ste 225
Lexington, KY 40509-1888

Mailing address

2333 Alumni Park Plz, Suite 200
Lexington, KY 40517-4012

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X1368 (KY)
Addiction (Substance Use Disorder) Counselor 101YA0400X1368 (KY)
Mental Health Counselor 101YM0800X1368 (KY)
Clinical Social Worker Primary 1041C0700X1368 (KY)

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 1740363324

Isaac Gray Manis Iii, MSW, LCSW's National Provider Identifier is 1740363324, issued on Oct 24, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lexington, KY. The record was last updated on Jul 13, 2020.