Individual provider Active NPI

Kimberly Alice Whittemore, MSW, LICSW

  • Clinical Social Worker
  • Dover, NH
National Provider Identifier
1083021653
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
113 Crosby Rd Ste 1
Dover, NH 03820-4370
Phone
(603) 516-9300
NPI assigned
Jul 16, 2014
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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 NH Primary

Addresses

Primary practice location

113 Crosby Rd Ste 1
Dover, NH 03820-4370

Mailing address

113 Crosby Rd Ste 1
Dover, NH 03820-4370
Phone (603) 516-9300

Other names 1

  • Ms. Kimberly Alice Poole Former 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
I20180828001613 NH Practitioner - Clinical Social Worker 6507115367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Chestnut St
Dover, NH 03820-3672
Phone (603) 516-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health and Developmental Services of Strafford County, Inc CurrentSince Jul 20, 2018 Accepting new patients
Behavioral Health and Developmental Services of Strafford County, Inc Past Accepting new patients
Behavioral Health and Developmental Services of Strafford County, Inc Past Accepting new patients

Locations

113 Crosby Rd
Ste 1
Dover, NH 03820

272 County Farm Rd
Dover, NH 03820
Phone (603) 516-8160

50 Chestnut St
Dover, NH 03820
Phone (603) 516-7372

50 Chestnut St
Ste A
Dover, NH 03820

25 Old Dover Rd
Rochester, NH 03867
Phone (603) 335-6470

25 Old Dover Rd
Unit B
Rochester, NH 03867
Phone (603) 822-7168

Organizations & group practices 3

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": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1083021653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CROSBY RD STE 1",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204370",
            "telephone_number": "603-516-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CROSBY RD STE 1",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204370",
            "telephone_number": "603-516-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEMORE",
        "first_name": "KIMBERLY",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "POOLE",
            "middle_name": "ALICE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.