Active NPI
Laurie Connors
- Clinical Social Worker
- Colebrook, NH
National Provider Identifier
1154735108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0890103162
- Practice address
- 141 Corliss LN
Indian Stream Health Center
Colebrook, NH 03576 - Phone
- (603) 237-8336
- Fax
- (603) 238-4467
- NPI assigned
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0890103162 | VT | Primary |
Addresses
Primary practice location
141 Corliss LN
Indian Stream Health Center
Colebrook, NH 03576
Mailing address
141 Corliss Lane
Indian Stream Health Center
Colebrook, NH 03576
Phone (603) 237-8336
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 |
|---|---|---|---|
| 0890103162 | VT | MD | Clinical Social Worker |
| 1793 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1154735108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 CORLISS LANE",
"address_2": "INDIAN STREAM HEALTH CENTER",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "03576",
"telephone_number": "603-237-8336",
"fax_number": "603-238-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 CORLISS LN",
"address_2": "INDIAN STREAM HEALTH CENTER",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "03576",
"telephone_number": "603-237-8336",
"fax_number": "603-238-4467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNORS",
"first_name": "LAURIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "0890103162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colebrook, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.