Active NPI
Maryanne C Strong, LICSW, LADC
- Clinical Social Worker
- Keene, NH
National Provider Identifier
1124136270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0890000982
- Practice address
- 317 Park Ave
Keene, NH 03431-1555 - Phone
- (603) 358-6789
- Fax
- (603) 358-6789
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 558 | NH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 103904 | VT | |
| Clinical Social Worker | 1041C0700X | 0890000982 | VT | Primary |
Addresses
Primary practice location
317 Park Ave
Keene, NH 03431-1555
Mailing address
317 Park Ave
Keene, NH 03431-1555
Phone (603) 358-6789
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30Y007518NH01 | Other | NH | BCBS BHN |
| 2192725 | Other | NH | CIGNA BHN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 558 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| 103904 | VT | MD | Addiction (Substance Use Disorder) Counselor |
| 0890000982 | VT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1124136270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 PARK AVE",
"city": "KEENE",
"state": "NH",
"postal_code": "034311555",
"telephone_number": "603-358-6789",
"fax_number": "603-358-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 PARK AVE",
"city": "KEENE",
"state": "NH",
"postal_code": "034311555",
"telephone_number": "603-358-6789",
"fax_number": "603-358-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRONG",
"first_name": "MARYANNE",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "LICSW, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "558",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "103904",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "0890000982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BHN",
"identifier": "30Y007518NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BHN",
"identifier": "2192725",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.