Provider Demographics
NPI:1285443176
Name:MANICA, MANUEL ALFRED (LCSW)
Entity type:Individual
Prefix:
First Name:MANUEL
Middle Name:ALFRED
Last Name:MANICA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 ROCKLAND ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02724-2817
Mailing Address - Country:US
Mailing Address - Phone:508-269-1467
Mailing Address - Fax:
Practice Address - Street 1:19 ROCKLAND ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02724-2817
Practice Address - Country:US
Practice Address - Phone:508-269-1467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical