Active NPI
Nashua Soup Kitchen and Shelter, Inc.
- Clinical Social Worker
- Nashua, NH
National Provider Identifier
1063346807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- NASHUA SOUP KITCHEN AND SHELTER, INC.
- Practice address
- 2 Quincy St
Nashua, NH 03060-3417 - Phone
- (603) 889-7770
- NPI assigned
- Jun 9, 2026
- Last updated
- Jun 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Goodman
- Title
- Executive Director
- Phone
- (603) 889-7770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
2 Quincy St
Nashua, NH 03060-3417
Mailing address
PO Box 3116
Nashua, NH 03061-3116
Phone (603) 889-7770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1063346807. Details of each certification follow.
Federally qualified health center certification: CCN 301840
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- NASHUA SOUP KITCHEN & SHELTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 30, 2020
- Last certification
- Oct 30, 2020
- Ownership / control type
- For profit – corporation
- Facility address
- 2 Quincy Street
Nashua, NH 03060
National Provider Directory
National Provider DirectoryLocations
2 Quincy St
Nashua, NH 03060
Phone (603) 292-7292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1063346807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3116",
"city": "NASHUA",
"state": "NH",
"postal_code": "030613116",
"telephone_number": "603-889-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 QUINCY ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603417",
"telephone_number": "603-889-7770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASHUA SOUP KITCHEN AND SHELTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "603-889-7770"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.