Emily Mary Nelson Walsh, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2482 Issued in NH

Practice address

90 Washington St Ste 301B
Dover, NH 03820-3744

Phone

(603) 836-0393

NPI assigned

Feb 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Shoreline Counseling Group LLC

  • Mental Health Counselor
  • Dover, NH
  • NPI 1164133229
  NPD Authorized official

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1144593773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1604",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038211604",
            "telephone_number": "603-836-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON ST STE 301B",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203744",
            "telephone_number": "603-836-0393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Washington St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038203721",
            "country_code": "US",
            "telephone_number": "603-836-0393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "EMILY",
        "middle_name": "MARY NELSON",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2482",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Eastern Co Inc
• Breanne L Walker, LCMHC
• Lauren Walker, CNM
• Sharon G Walker, APRN
• Derek Brian Wall, MD
• Michael Walsh, LMT
• Sarah A Walsh, APRN
• Jaimee L Walters, PA-C
• Diana M Ward, L.AC
• Erin Wardrop, MSW, LICSW

• Clinical Social Worker in Dover, NH
• Providers in Dover, 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 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.