Provider Demographics
NPI:1811059686
Name:MCMANUS, JAMES ARTHUR (MSSW LCSW)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ARTHUR
Last Name:MCMANUS
Suffix:
Gender:M
Credentials:MSSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 MARNE HWY
Mailing Address - Street 2:PO BOX 41
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-3624
Mailing Address - Country:US
Mailing Address - Phone:609-261-2309
Mailing Address - Fax:609-261-5998
Practice Address - Street 1:1411 MARNE HWY
Practice Address - Street 2:
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036-3624
Practice Address - Country:US
Practice Address - Phone:609-261-2309
Practice Address - Fax:609-261-5998
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00075900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ44SC00075900OtherCLINICIAN LICENSE