DANYELLE ANNABELLE DWYER MANZO
NPI 1124672266
Social Worker - Clinical in Stockton, CA

Active since July 26, 2019PECOS EnrolledAccepts Medicare Assignment
PO BOX 691751, STOCKTON, CA 95269(209) 689-6121 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2026, Dec 11, 2023, Jul 26, 2019 (3 updates tracked since 2019).

About Danyelle Annabelle Dwyer Manzo NPPES

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

DANYELLE ANNABELLE DWYER MANZO (NPI 1124672266) is an individual clinical provider in Stockton, California, licensed in California (138632) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124672266
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDANYELLE ANNABELLE DWYER MANZO
Location AddressPO BOX 691751Stockton, CA 95269-1751
Mailing Address42 W Sonoma AveStockton, CA 95204-3630 · (209) 689-6121
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 26, 2019
Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1124672266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 138632
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
PO BOX 691751, Stockton, CA 95269

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Danyelle Annabelle Dwyer Manzo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820556376
PECOS Enrollment IDI20260815000054
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.

Medicare Billing Reassignment

Medicare enrollment records show Danyelle Dwyer Manzo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Danyelle Dwyer Manzo's NPI number?

The NPI number for Danyelle Dwyer Manzo is 1124672266. It was assigned to this individual provider in the NPPES registry on July 26, 2019.

Where is Danyelle Dwyer Manzo located?

Danyelle Dwyer Manzo practices at PO Box 691751, Stockton, CA 95269. The listed phone number is (209) 689-6121.

What is Danyelle Dwyer Manzo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Danyelle Dwyer Manzo enrolled in Medicare?

Yes. Danyelle Dwyer Manzo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Danyelle Dwyer Manzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danyelle Dwyer Manzo reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danyelle Dwyer Manzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Danyelle Dwyer Manzo was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.