Individual provider Active NPI

Elizabeth Pearson, LICSW

  • Clinical Social Worker
  • Littleton, NH
National Provider Identifier
1083996631
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2363 Issued in NH
Practice address
29 Maple St
Littleton, NH 03561-4729
Phone
(802) 323-3103
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0134249 VT
Clinical Social Worker 1041C0700X LC8379 ME
Clinical Social Worker 1041C0700X 2363 NH Primary

Addresses

Primary practice location

29 Maple St
Littleton, NH 03561-4729

Mailing address

29 Maple St
Littleton, NH 03561-4729
Phone (603) 444-5358

Other names 1

  • Elizabeth Pearson Professional 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
I20210222002142 NH Practitioner - Clinical Social Worker 8628483831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2363NHMDMental Health Counselor
LC8379MEMDClinical Social Worker
089.0134249VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association CurrentSince Dec 1, 2023 Accepting new patients
Littleton Hospital Association CurrentSince Dec 1, 2023 Accepting new patients
Northern Human Services PastSince Sep 6, 2020 Accepting new patients
Marvin Behavioral Health Ma PC Clinical Past Accepting new patients

Locations

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1083996631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MAPLE ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614729",
            "telephone_number": "603-444-5358",
            "fax_number": "603-444-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MAPLE ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614729",
            "telephone_number": "802-323-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134249",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC8379",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PEARSON",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.