Individual provider Active NPI

Joan F Tavares, LICSW

  • Social Worker
  • Salem, NH
National Provider Identifier
1073566055
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LICSW 745 Issued in NH
Practice address
15 Ermer Rd
Suite 208
Salem, NH 03079-1271
Phone
(603) 898-3388
NPI assigned
May 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LICSW 745 NH Primary

Addresses

Primary practice location

15 Ermer Rd
Suite 208
Salem, NH 03079-1271

Mailing address

15 Ermer Rd
Suite 208
Salem, NH 03079-1271
Phone (603) 898-3388

Other names 1

  • Joan F Nawoichyk Other name

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
I20100816001010 NH Practitioner - Clinical Social Worker 1355475179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Family Wellness, PLLCGroup PAC ID 2961536776, 2 clinicians

Practice addresses (Care Compare)

15 Ermer Rd
Unit 208
Salem, NH 03079-5206
Phone (603) 898-3388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
745NHMDClinical Psychologist
LICSW 745NHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Family Wellness, PLLC CurrentSince May 3, 2010 Accepting new patients

Locations

15 Ermer Rd
Unit 208
Salem, NH 03079
Phone (603) 898-3388

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073566055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ERMER RD",
            "address_2": "SUITE 208",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030791271",
            "telephone_number": "603-898-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ERMER RD",
            "address_2": "SUITE 208",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030791271",
            "telephone_number": "603-898-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "JOAN",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NH",
            "license": "LICSW 745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "NAWOICHYK",
            "middle_name": "F",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.