Provider Demographics
NPI:1942813928
Name:MANNING, DEBRA MOREY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:MOREY
Last Name:MANNING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 SHINGLE MILL DR
Mailing Address - Street 2:
Mailing Address - City:DRUMS
Mailing Address - State:PA
Mailing Address - Zip Code:18222-1211
Mailing Address - Country:US
Mailing Address - Phone:610-217-9239
Mailing Address - Fax:
Practice Address - Street 1:246 SHINGLE MILL DR
Practice Address - Street 2:
Practice Address - City:DRUMS
Practice Address - State:PA
Practice Address - Zip Code:18222-1211
Practice Address - Country:US
Practice Address - Phone:610-217-9239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0213221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty