Provider Demographics
NPI:1225269392
Name:MANNING, JOANNE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:MANNING
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16559 LOHR RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48111-2569
Mailing Address - Country:US
Mailing Address - Phone:734-697-8559
Mailing Address - Fax:734-697-8559
Practice Address - Street 1:16559 LOHR RD
Practice Address - Street 2:
Practice Address - City:VAN BUREN TWP
Practice Address - State:MI
Practice Address - Zip Code:48111-2569
Practice Address - Country:US
Practice Address - Phone:734-697-8559
Practice Address - Fax:734-697-8559
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010888711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical