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EDDA MCMANUS LCSW LLC
NPI 1619303047
Social Worker - Clinical in Waterford, CT

Active since September 17, 2013
567 VAUXHALL STREET EXT, SUITE 314, WATERFORD, CT 06385(860) 440-3838(860) 381-5099 Get Directions Write a Review

NPPES record last updated: September 17, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edda Mcmanus Lcsw Llc NPPES

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

EDDA MCMANUS LCSW LLC (NPI 1619303047) is a healthcare organization registered as a clinical in Waterford, Connecticut and active in the NPI registry since September 2013. The organization lists Edda Mcmanus, Owner, as its authorized official.

NPPES Registry Identity

NPI1619303047
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEDDA MCMANUS LCSW LLC
Location Address567 VAUXHALL STREET EXT, SUITE 314Waterford, CT 06385-4330
Mailing Address567 Vauxhall Street Ext, Suite 314Waterford, CT 06385-4330 · (860) 440-3838 · Fax (860) 381-5099
Phone(860) 440-3838
Fax(860) 381-5099
Organization SubpartNo
Authorized OfficialEdda McmanusOwner · (860) 440-3838
Enumeration DateSeptember 17, 2013
✔ NPI 1619303047 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 CT · 007169
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.
567 VAUXHALL STREET EXT, Waterford, CT 06385
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Other Identifiers 1

MedicaidCBHP004254CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edda Mcmanus Lcsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Edda Mcmanus Lcsw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Edda Mcmanus, LCSW
Clinical Social Worker
NPI 1871829804
567 VAUXHALL STREET EXT STE 314
Waterford, CT 06385
(860) 334-9063
✔ PECOS✔ Accepts MedicareSame address

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

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 Edda Mcmanus Lcsw LLC's NPI number?

The NPI number for Edda Mcmanus Lcsw LLC is 1619303047. It was assigned to this organization in the NPPES registry on September 17, 2013.

Where is Edda Mcmanus Lcsw LLC located?

Edda Mcmanus Lcsw LLC is located at 567 Vauxhall Street Ext Suite 314, Waterford, CT 06385. The listed phone number is (860) 440-3838.

What is Edda Mcmanus Lcsw LLC's specialty?

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

Is Edda Mcmanus Lcsw LLC enrolled in Medicare?

Yes. Edda Mcmanus Lcsw LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edda Mcmanus Lcsw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Edda Mcmanus Lcsw LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Edda Mcmanus Lcsw LLC was last updated on September 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.