Individual provider Active NPI

Leah E Abrahamsen, LICSW

  • Clinical Social Worker
  • Lebanon, NH
National Provider Identifier
1033580345
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1922 Issued in NH
Practice address
85 Mechanic Street Suite 3B-1
Dartmouth Hitchcock - Psychiatry
Lebanon, NH 03766
Phone
(603) 650-6150
NPI assigned
Oct 13, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0090956 VT
Clinical Social Worker 1041C0700X 1922 NH Primary

Addresses

Primary practice location

85 Mechanic Street Suite 3B-1
Dartmouth Hitchcock - Psychiatry
Lebanon, NH 03766

Mailing address

85 Mechanic Street Suite 3B-1
Dartmouth Hitchcock - Psychiatry
Lebanon, NH 03766
Phone (603) 650-6150

Other practice location 1

11 N Main St
Randolph, VT 05060-1126
Phone (802) 728-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160511000471 NH Practitioner - Clinical Social Worker 8022307206 Reassigns benefits to 3 organizations
I20160511000763 VT Practitioner - Clinical Social Worker 8022307206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

85 Mechanic St
Suite 3B 1
Lebanon, NH 03766-1537
Phone (603) 653-1732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0090956VTMDClinical Social Worker
1922NHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Jan 15, 2018 Accepting new patients
Springfield Medical Care Systems Inc CurrentSince Feb 22, 2016 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jan 15, 2018 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jan 15, 2018 Accepting new patients
Springfield Medical Care Systems Inc. CurrentSince Feb 22, 2016 Accepting new patients

Locations

250 Ceda Rd
Charlestown, NH 03603
Phone (603) 826-5711

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

85 Mechanic St
Ste 3B1
Lebanon, NH 03766
Phone (603) 650-6150

1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292

100 River St
Springfield, VT 05156
Phone (802) 886-8900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033580345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MECHANIC STREET SUITE 3B-1",
            "address_2": "DARTMOUTH HITCHCOCK - PSYCHIATRY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03766",
            "telephone_number": "603-650-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MECHANIC STREET SUITE 3B-1",
            "address_2": "DARTMOUTH HITCHCOCK - PSYCHIATRY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03766",
            "telephone_number": "603-650-6150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 N Main St",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "VT",
            "postal_code": "050601126",
            "country_code": "US",
            "telephone_number": "802-728-4466",
            "fax_number": "802-728-4197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAMSEN",
        "first_name": "LEAH",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0090956",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.