Individual provider · Type 1 NPI

Amanda Courtenay Manchack

Clinical Social Worker · Dallas, TX

NPI number 1982123485 Active

Practice location

5473 Blair Rd Ste 100
Dallas, TX 75231-4227

Call (972) 904-9039 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X56379 (TX)

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 1982123485

Amanda Courtenay Manchack's National Provider Identifier is 1982123485, issued on Sep 15, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dallas, TX. The record was last updated on Sep 28, 2026.