AUTUMN MANGUM
NPI 1609550276
Social Worker in Emmaus, PA

Q: What is Autumn Mangum's NPI number?

The NPI number for Autumn Mangum is 1609550276. It was assigned to this individual provider in the NPPES registry on June 13, 2023.

Q: What is Autumn Mangum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Autumn Mangum was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since June 13, 2023PECOS EnrolledAccepts Medicare Assignment

3835 CHESTNUT ST, EMMAUS, PA 18049(484) 232-5288 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Autumn Mangum NPPES

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

AUTUMN MANGUM (NPI 1609550276) is an individual social worker in Emmaus, Pennsylvania, licensed in Pennsylvania (SW139708) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609550276

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameAUTUMN MANGUM

Location Address3835 CHESTNUT STEmmaus, PA 18049-1830

Mailing Address436 Yeker Farms LnAllentown, PA 18103-5956 · (484) 353-8480

Phone(484) 232-5288

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 13, 2023

NPPES CertifiedJune 13, 2023

✔ NPI 1609550276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in PA · SW139708

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.

3835 CHESTNUT ST, Emmaus, PA 18049

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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 and accepts Medicare assignment

Autumn Mangum 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 ID648776229

PECOS Enrollment IDI20251002001066

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 7

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

BRIANNA WAGNER LCSW

Social Worker (Clinical)