Individual provider Active NPI

Erin Coolidge

  • Clinical Social Worker
  • Concord, NH
National Provider Identifier
1063223832
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5104 Issued in NH
Practice address
194 Pleasant St Ste 14
Concord, NH 03301-2952
Phone
(603) 865-1321
NPI assigned
Jan 20, 2025
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5104 NH Primary

Addresses

Primary practice location

194 Pleasant St Ste 14
Concord, NH 03301-2952

Mailing address

196 Rumford St
Concord, NH 03301-4584
Phone (603) 219-2612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250128003633 NH Practitioner - Mental Health Counselor 9436688975 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5104NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of New London PLLC Clinical CurrentSince Jan 21, 2025 Accepting new patients

Locations

251 Elm St
Claremont, NH 03743
Phone (603) 542-3800

35 Newport Rd
New London, NH 03257
Phone (603) 526-4230

144 Highland St
Plymouth, NH 03264
Phone (603) 536-1441

Organizations & group practices 1

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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1063223832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 RUMFORD ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014584",
            "telephone_number": "603-219-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 PLEASANT ST STE 14",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012952",
            "telephone_number": "603-865-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLIDGE",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "5104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.