Theb Manivanh, LCSW
NPI 1649459835 · Clinical Social Worker · Visalia, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theb Manivanh, LCSW is a Clinical Social Worker provider in Visalia, CA (NPI 1649459835).
Provider details
- NPI number
- 1649459835
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 28251 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 925 Bevins CtLakeport, CA 95453-9754Phone: (707) 263-8382Fax: (707) 263-0329
Registry dates
- Enumerated
- 2007-10-24
- Last updated
- 2025-08-04
- Certified
- 2025-08-04
Frequently asked questions
- What is Theb Manivanh's NPI number?
- Theb Manivanh's National Provider Identifier (NPI) is 1649459835, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theb Manivanh's specialty?
- Theb Manivanh is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Theb Manivanh located?
- Theb Manivanh's practice location on file with NPPES is 505 N Court St, Visalia, CA 93291-4912.
- What is Theb Manivanh's phone number?
- The practice phone number listed in the NPPES registry for Theb Manivanh is (559) 730-7566.
- Does Theb Manivanh accept Medicare?
- Theb Manivanh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theb Manivanh's NPI active?
- Yes — Theb Manivanh's NPI (1649459835) is active in the NPPES registry as of the last update on 2025-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.