Individual provider Active NPI

Lauren E Blanchette, LICSW

  • Clinical Social Worker
  • Concord, NH
National Provider Identifier
1093363954
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3164 Issued in NH
Practice address
21 Green St Ste 2
Concord, NH 03301-4000
Phone
(603) 321-4061
NPI assigned
Sep 3, 2019
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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 3164 NH Primary

Addresses

Primary practice location

21 Green St Ste 2
Concord, NH 03301-4000

Mailing address

64 Hutchins St
Concord, NH 03303-4126
Phone (603) 321-4061

Other practice location 1

10 Tsienneto Rd
Derry, NH 03038-1505
Phone (603) 965-0839

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
I20240425000614 NH Practitioner - Clinical Social Worker 9739529710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womankind Counseling CenterGroup PAC ID 1456364892, 6 clinicians

Practice addresses (Care Compare)

21 Green St
Concord, NH 03301-4000
Phone (603) 225-2985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3164NHMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Womankind Counseling Center Clinical CurrentSince May 7, 2024 Accepting new patients

Locations

21 Green St
Concord, NH 03301
Phone (603) 224-0971

21 Green St
Ste 2
Concord, NH 03301
Phone (603) 225-2985

Organizations & group practices 2

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1093363954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 HUTCHINS ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033034126",
            "telephone_number": "603-321-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GREEN ST STE 2",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014000",
            "telephone_number": "603-321-4061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Tsienneto Rd",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030381505",
            "country_code": "US",
            "telephone_number": "603-965-0839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHETTE",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "3164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.