Individual provider Active NPI

Joan C. Walker, LICSW

  • Clinical Social Worker
  • Manchester, NH
National Provider Identifier
1083857106
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1010 Issued in NH
Practice address
445 Cypress St
Suite 8
Manchester, NH 03103-3600
Phone
(603) 668-4079
Fax
(603) 663-8605
NPI assigned
Apr 20, 2009
Last updated
Apr 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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 1010 NH Primary

Addresses

Primary practice location

445 Cypress St
Suite 8
Manchester, NH 03103-3600

Mailing address

445 Cypress St
Suite 8
Manchester, NH 03103-3600
Phone (603) 668-4079

Other identifiers 1

IdentifierTypeStateIssuer
RE6661OtherNHMEDICARE GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1010NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Community Mental Health, Inc CurrentSince Nov 30, 2020 Accepting new patients
Riverbend Community Mental Health, Inc. CurrentSince Nov 30, 2020 Accepting new patients
Elliot Professional Services PastSince Mar 25, 2013 Accepting new patients
Elliot Professional Services Past Accepting new patients

Locations

105 Loudon Rd
Bldg 3
Concord, NH 03301
Phone (603) 228-0547

3 N State St
Concord, NH 03301
Phone (603) 225-0123

Organizations & group practices 4

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": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1083857106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CYPRESS ST",
            "address_2": "SUITE 8",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033600",
            "telephone_number": "603-668-4079",
            "fax_number": "603-663-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CYPRESS ST",
            "address_2": "SUITE 8",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033600",
            "telephone_number": "603-668-4079",
            "fax_number": "603-663-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOAN",
        "middle_name": "C.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "RE6661",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.