Joan Anita Mangino v. Commissioner of Social Security

CourtDistrict Court, N.D. Ohio
DecidedFebruary 23, 2026
Docket5:25-cv-01655
StatusUnknown

This text of Joan Anita Mangino v. Commissioner of Social Security (Joan Anita Mangino v. Commissioner of Social Security) is published on Counsel Stack Legal Research, covering District Court, N.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Joan Anita Mangino v. Commissioner of Social Security, (N.D. Ohio 2026).

Opinion

IN THE UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF OHIO EASTERN DIVISION

JOAN ANITA MANGINO ) CASE NO. 5:25-CV-01655-CEH ) Plaintiff, ) CARMEN E. HENDERSON ) UNITED STATES MAGISTRATE JUDGE v. ) ) MEMORANDUM OPINION COMMISSIONER OF ) AND ORDER SOCIAL SECURITY ) ) Defendant, )

I. Introduction Plaintiff, Joan A. Mangino (“Mangino” or “Claimant”), seeks judicial review of the final decision of the Commissioner of Social Security denying her application for Disability Insurance Benefits (“DIB”). This matter is before me by consent of the parties under 28 U.S.C. § 636(c) and Fed. R. Civ. P. 73. (ECF No. 8). For the reasons set forth below, the Court AFFIRMS the Commissioner of Social Security’s nondisability finding and OVERRULES Plaintiff’s Statement of Errors. II. Procedural History On May 11, 2023, Mangino filed an application for DIB, alleging a disability onset date of May 10, 2023 and claiming she was disabled due to lupus, mixed connective tissues disease, thyroiditis, metabolic syndrome, gastroparesis, elevated liver enzymes, pcos, interstitial disease of lungs, htn, gastro polyps, hypercalcium, osteoporosis, alopecia, hyperlipidemia, andomyosis, coronary artery calcification, pulmonary nodules, back injury, broken left wrist, and Raynaud’s syndrome. (ECF No. 6, PageID #: 46, 266). The application was denied initially and upon reconsideration, and Mangino requested a hearing before an administrative law judge (“ALJ”). (ECF No. 6, PageID #: 49). On June 21, 2024, an ALJ held a hearing, during which Claimant, represented by counsel, and an impartial vocational expert (“VE”) testified. (ECF No. 6, PageID #: 49). On, July 8, 2024 the ALJ issued a written decision finding Mangino was not disabled. (ECF No. 6, PageID #: 46). The ALJ’s decision became final on June 18, 2025, when the

Appeals Council declined further review. (ECF No. 6, PageID #: 24). On August 8, 2025, Mangino filed her Complaint to challenge the Commissioner’s final decision. (ECF No. 1.) The parties have completed briefing in this case. (ECF Nos. 9, 10, 11). Mangino asserts the following assignment of error: “[t]he ALJ’s step 4 finding that Plaintiff can perform her past relevant work is contrary to law and not supported by substantial evidence - because the evidence shows that her past job is a ‘composite job,’ and because there is no dispute she cannot perform that job, a step 4 denial is inarguably improper.” (ECF No. 9 at 1). III. Background A. Relevant Hearing Testimony

As noted above, Mangino testified at the June 21, 2024 ALJ hearing. (ECF No. 6, PageID #: 49). Mangino testified that she previously worked as a Pharmacy Technician for Altman Health Foundation. (ECF No. 6, PageID #: 73). She testified in her work she mixed chemo drugs for home patients and spent half of her time sitting and standing. (ECF No. 6, PageID #: 74). However, in the last two years, spent half of the time standing, moving, pushing, lifting and bending anywhere up to 50 to 75 pounds. Id. Lynn Smith, a Vocational Expert (“VE”), also testified at the ALJ hearing. (ECF No. 6, PageID #: 49). The VE classified Mangino’s past work as, “Pharmacy Technician, DOT … 074.382-010, it’s considered light and semi-skilled with an SVP of 3.” (ECF No. 6, PageID #: 85). The ALJ then asked the VE whether a hypothetical individual with Mangino’s age, experience, and residual functional capacity (“RFC”) could perform any of Mangino’s past work. Id. The VE stated that such an individual could not perform Mangino’s past work as a Pharmacy Technician as it was actually performed, but the individual could perform the Pharmacy Technician role as generally performed per the DOT. Id. (Emphasis added).

On cross-examination, Mangino’s counsel asked the VE whether delivery is a part of the DOT description for pharmacy technicians and if there was a different DOT code that encompassed delivery. (ECF No. 6, PageID #: 89). The ALJ responded, “[y]es, I could certainly give you one. I didn’t feel it was done that often that I needed to actually categorize it. But I can if you want me to, counsel.” Id. On reexamination, the ALJ posed the following question to the VE, “[i]n your opinion, how much of the duties would have to be of a delivery driver in order for you to consider it like a composite job?” (ECF No. 6, PageID #: 93). The VE responded, “… I would say at least 25 to 50 percent of the job. And I didn’t get the feeling that this had been done that long or that often that it was something that I needed to provide a DOT code for.” Id. The ALJ then asked Mangino to describe the frequency of deliveries during her time at Altman

Health Foundation. (ECF No. 6, PageID #: 94). She testified, “[i]t wasn’t unusual delivering every day. There were days where most of the time we were understaffed for most of the year (phonetic) and we were doing multiple jobs … [w]e’ve always had to do a few of them because with volume it can increase or decrease.” Id. She concluded that the number of deliveries varied, with at least one delivery a month, and the deliveries could range from zero deliveries a day to upwards of ten deliveries a day. Id. B. Relevant Medical Evidence

The ALJ summarized Mangino’s health records and symptoms: The medical evidence establishes that the claimant pain complaints date to at least 2018, but that x-rays of her bilateral feet at that time showed only some mild chronic arthritic changes (2F). Mid-2019 x-rays of her bilateral knees revealed only a “small patellar enthesophyte [at the] left quadriceps insertion,” and accompanying x-rays of the claimant’s bilateral hands were wholly unremarkable (2F/1). In late 2021, x-rays of the claimant’s lumbar spine demonstrated mild lower level facet arthropathy and “multilevel degenerative disc disease, most pronounced at L2- 3, with disc height loss, degenerative endplate changes, and osteophytes,” unchanged as compared to imaging obtained in 2019 (7F/7). Nevertheless, after a considered diagnosis of lupus, the claimant was diagnosed with UCTD based on her “arthritis, positive ANA, [histories of lichen sclerosis and psoriasis], and high titer double-stranded DNA” (2F/1).

In mid-2022, the claimant reported that her plantar fasciitis pain improved with prescribed orthotics/diabetic shoes, and while the undersigned notes that the claimant’s prescription for these diabetic shoes/orthotic included a diagnosis of diabetes with neuropathy, the claimant’s treatment notes do not reflect this diagnosis and there are no clinical findings consistent with this diagnosis (2F/15- 16, 12F).

When seen in GI follow up at that time, after a normal colonoscopy 2 ½-years earlier, the claimant’s complaint of [sic] was loose bowel movements “almost on a daily basis”; given her “longstanding diabetes,” differential considerations included pancreatic insufficiency, as well as microscopic colitis, and GERD “with an element of gastroparesis” (5F/22). An updated colonoscopy confirmed only benign polyps, and the claimant said that her symptoms had improved “after she had a GI cleanse” (2F/15-16).

In September 2022, the claimant said that previously-noted tension and achiness in her shoulders had improved, and exam findings confirmed that the claimant was “able to raise her hands above her head and [also] behind her back” (2F/15). The claimant’s complaints at that time were of hand and low back pain, which she rated at 3/10; she denied having any sicca symptoms, she had a documented Body Mass Index (BMI) of 29, and she acknowledged that she continued to smoke despite her “referral to pulmonology for decreased oxygen saturation” (2F/16).

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Joan Anita Mangino v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/joan-anita-mangino-v-commissioner-of-social-security-ohnd-2026.