JONATAN LOPEZ MANCILLA
NPI 1053973685
Social Worker in Ephraim, UT

Q: What is Jonatan Lopez Mancilla's NPI number?

The NPI number for Jonatan Lopez Mancilla is 1053973685. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Q: What is Jonatan Lopez Mancilla's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since July 03, 2019PECOS Enrolled

390 W 100 N, EPHRAIM, UT 84627(435) 283-4065(435) 462-8407 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jonatan Lopez Mancilla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATAN LOPEZ MANCILLA (NPI 1053973685) is an individual social worker in Ephraim, Utah and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053973685

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameJONATAN LOPEZ MANCILLA

Location Address390 W 100 NEphraim, UT 84627-2131

Mailing Address152 N 400 WEphraim, UT 84627-5549 · (435) 283-8400 · Fax (435) 283-8401

Phone(435) 283-4065

Fax(435) 462-8407

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 3, 2019

Last NPPES UpdateOctober 17, 2025

NPPES CertifiedOctober 17, 2025

✔ NPI 1053973685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

390 W 100 N, Ephraim, UT 84627

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonatan Lopez Mancilla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850869827

PECOS Enrollment IDI20260507002836

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEILA R BRINGHURST RN

Licensed Practical Nurse

390 W 100 N
EPHRAIM, UT 84627

Sanpete County (435) 283-4065

JOLENE BLACKBURN CPCI

Counselor

390 W 100 N
EPHRAIM, UT 84627

Sanpete County (435) 283-4065

SUSAN DIANE NIELSON RN

Counselor

390 W 100 N
EPHRAIM, UT 84627

Sanpete County (435) 283-4065

ALYSSA WOLF CASE MANAGER

Counselor

390 W 100 N
EPHRAIM, UT 84627

Sanpete County (435) 283-4065

RUTH E VANTASSELL LCSW

Social Worker (Clinical)

390 W 100 N
EPHRAIM, UT 84627

Sanpete County (435) 283-4065

KAMI LYNNE BRITO

Social Worker (Clinical)

390 W 100 N
EPHRAIM, UT 84627

Sanpete County (435) 283-8400

MS. LEA ANN GIBSON LCSW

Social Worker (Clinical)

390 W 100 N
EPHRAIM, UT 84627

Sanpete County (435) 283-4065

NANCY JANE BEAN

Counselor (Mental Health)

390 W 100 N
EPHRAIM, UT 84627

Sanpete County (435) 283-4065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonatan Lopez Mancilla's NPI number?

The NPI number for Jonatan Lopez Mancilla is 1053973685. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Jonatan Lopez Mancilla located?

Jonatan Lopez Mancilla practices at 390 W 100 N, Ephraim, UT 84627. The listed phone number is (435) 283-4065.

What is Jonatan Lopez Mancilla's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jonatan Lopez Mancilla enrolled in Medicare?

Yes. Jonatan Lopez Mancilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonatan Lopez Mancilla was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.