Manney, Rachael
Manney, Rachael is an individual health care provider with primary practice located at 809 Jefferson Ave , La Porte IN 46350-3431. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Manney, Rachael can be contacted via phone (219) 617-4599.Contact Information
Primary practice address
809 Jefferson Ave
La Porte IN 46350-3431
Phone: (219) 617-4599
Fax: (219) 325-0855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34004603A | Indiana |
Profile Details
| NPI number | 1285686634 |
|---|---|
| LBN Legal business name | Manney, Rachael |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Sep 1st, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285686634 | NPPES |
| Indiana | Other | M54203003 | MEDICARE PTAN |
| Indiana | MEDICAID | 200882550A | MEDICARE PTAN |
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