Active NPI
Samuel Sobel, LICSW
- Clinical Social Worker
- Manchester, NH
National Provider Identifier
1013140045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1799
- Practice address
- 1555 Elm St
Manchester, NH 03101-1203 - Phone
- (603) 668-4111
- Fax
- (603) 628-7757
- NPI assigned
- Aug 25, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1799 | NE | Primary |
Addresses
Primary practice location
1555 Elm St
Manchester, NH 03101-1203
Mailing address
401 Cypress St
Manchester, NH 03103-3628
Phone (603) 668-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 6, 2024 through Jun 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1799 | NE | MD | Chiropractor |
| 1799 | NH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1013140045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CYPRESS ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031033628",
"telephone_number": "603-668-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 ELM ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031011203",
"telephone_number": "603-668-4111",
"fax_number": "603-628-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBEL",
"first_name": "SAMUEL",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-25",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.