George James Manko is a Clinical in Warwick, Rhode Island. George James Manko practices all healthcare services and medical treatments related to Clinical. The NPI Number for George James Manko is 1801917158. The last update date is 2007-07-08.
George James Manko's current location address is 615 Jefferson Blvd, Warwick, Rhode Island. You can contact this provider via phone number 4017376436 and fax number 4017321228. The mailing address for George James Manko is 615 Jefferson Blvd, Warwick, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George James Manko |
|---|---|
| Address | 615 Jefferson Blvd, Warwick, Rhode Island |
| Phone Number | 4017376436 |
| Fax Number | 4017321228 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1801917158 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 615 Jefferson Blvd |
|---|---|
| City | Warwick |
| State | Rhode Island (RI) |
| Post Code | 28861357 |
| Phone Number | 4017376436 |
| Fax Number | 4017321228 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ISW00631 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 406570 | RI | BLUE CHIP | |
| 30185-5 | RI | BLUE CROSS & BLUE SHIELD | |
| 1021900 | RI | BEACON HEALTH STRATEGIES | |
| 6200364 | RI | UNITED BEHAVIORAL HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to George James Manko by the Centers for Medicare & Medicaid Services?
The George James Manko has been issued the NPI (National Provider Identifier) 1801917158 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where George James Manko is located?
The George James Manko is situated at the following address: 615 Jefferson Blvd, Warwick, RI, 28861357.
What is George James Manko's specialized field of practice, and what is the corresponding taxonomy classification code?
The George James Manko's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801917158 to George James Manko?
The Centers for Medicare & Medicaid Services originally issued the 1801917158 to George James Manko on 2007-04-03.
When was the information pertaining to George James Manko most recently updated or revised?
The details related to George James Manko, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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