NPI 1003146978

Kelli Ann Manzano, LCSWCLICSW

Practitioner Clinical Social Worker Martinsburg, WV

Practice location

Address: 142 N Queen St, Martinsburg, WV 25401
Phone: (304) 596-0486
Fax: (304) 760-5945
Mailing address: 142 N Queen St, Martinsburg, WV 25401-3312

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence DP00944880 (WV)

Other Social Worker providers in West Virginia →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 17093 (MD)

Registry record

NPI: 1003146978
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2009
Record last updated: 13 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.