Sam Taliaferro, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2235 Issued in NH

Practice address

88 McGregor St Ste 105
Manchester, NH 03102-3732

Phone

(603) 663-6252

NPI assigned

Jul 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jtsj1 Enterprises LLCGroup PAC ID 9537515689, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jtsj1 Enterprises LLC

  dba Ellie Mental Health

  • Mental Health Counselor
  • Manchester, NH
  • NPI 1801589759
  Medicare reassignment Care Compare group
• Catholic Medical Center

  • Psychiatric Hospital Unit
  • Manchester, NH
  • NPI 1336245240
  Medicare reassignment NPD
• Catholic Medical Center

  dba Manchester Anesthesia Associates

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1003692112
  NPD

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1144483231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MCGREGOR ST STE 105",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023732",
            "telephone_number": "603-663-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MCGREGOR ST STE 105",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023732",
            "telephone_number": "603-663-6252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "03301",
            "country_code": "US",
            "telephone_number": "603-228-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALIAFERRO",
        "first_name": "SAM",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_cmcbhs@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "88 McGregor St Ste 105",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Senait B. Taffere, PA-C
• Mohamed Habib Ahmed Taha, DDS
• Toki Tahara, DPT
• Farah Tahir, PHYSICIAN ASSISTANT
• Elizabeth Ann Talbot
• Susan Barrie Talty, RN
• Meryem Tambi
• Elizabeth L Tamietti, LMFT
• Briana Tan, BA
• Kristen Tanguay

• Clinical Social Worker in Manchester, NH
• Providers in Manchester, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.