MR. THEB MANIVANH LCSW
NPI 1649459835
Social Worker - Clinical in Visalia, CA

Active since October 24, 2007PECOS Enrolled
505 N COURT ST, VISALIA, CA 93291(559) 730-7566 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2025, Jul 6, 2022, Mar 15, 2017 (3 updates tracked since 2017).

About Mr. Theb Manivanh Lcsw NPPES

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

MR. THEB MANIVANH LCSW (NPI 1649459835) is an individual clinical provider in Visalia, California, licensed in California (28251) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lakeport, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1649459835
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. THEB MANIVANHCredential: LCSW
Location Address505 N COURT STVisalia, CA 93291-4912
Mailing AddressPo Box 1950Lakeport, CA 95453-1950 · (707) 263-8382 · Fax (707) 263-0329
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 24, 2007
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1649459835 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 · 28251
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.

505 N COURT ST, Visalia, CA 93291

Secondary Practice Location 1

Location 1925 Bevins CtLakeport, CA 95453-9754 · Phone (707) 263-8382 · Fax (707) 263-0329

Other Identifiers 1

Other28251CA · Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Theb Manivanh Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537607262
PECOS Enrollment IDI20240813003078
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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.

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
505 N COURT ST
VISALIA, CA 93291
Social Worker (Clinical)
505 N COURT ST
VISALIA, CA 93291
Social Worker (Clinical)
505 N COURT ST
VISALIA, CA 93291
Social Worker (Clinical)
505 N COURT ST
VISALIA, CA 93291

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 Theb Manivanh's NPI number?

The NPI number for Theb Manivanh is 1649459835. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Where is Theb Manivanh located?

Theb Manivanh practices at 505 N Court St, Visalia, CA 93291. The listed phone number is (559) 730-7566.

What is Theb Manivanh's specialty?

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

Is Theb Manivanh enrolled in Medicare?

Yes. Theb Manivanh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theb Manivanh was last updated on August 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.