Individual provider Active NPI

Connie A Bessette, LICSW

  • Social Worker
  • Nashua, NH
National Provider Identifier
1164500617
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
836 Issued in NH
Practice address
154 Broad St Suite 1532
Nashua, NH 03063
Phone
(603) 883-9333
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
836NHMDSocial Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 836 NH Primary

Addresses

NPPES NPI Registry

Primary practice location

154 Broad St Suite 1532
Nashua, NH 03063

Mailing address

154 Broad St Suite 1532
Nashua, NH 03063
Phone (603) 883-9333

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
30420113MedicaidNH
14Y007890NH01OtherNHANTHEM

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164500617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 BROAD ST SUITE 1532",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03063",
            "telephone_number": "603-883-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 BROAD ST SUITE 1532",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03063",
            "telephone_number": "603-883-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESSETTE",
        "first_name": "CONNIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NH",
            "license": "836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30420113",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "14Y007890NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.