Active NPI
Yvonne Varrieur Klotz
- Clinical Social Worker
- Wolfeboro, NH
National Provider Identifier
1164543104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1115
- Practice address
- 70 Bay St
Wolfeboro, NH 03894-4320 - Phone
- (603) 569-1884
- NPI assigned
- Apr 3, 2007
- 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 | 1115 | NH | Primary |
Addresses
Primary practice location
70 Bay St
Wolfeboro, NH 03894-4320
Mailing address
87 Washington St
Conway, NH 03818-6044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2068350 | Other | CIGNA |
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 |
|---|---|---|---|
| 1115 | NH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246320000000",
"number": "1164543104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 WASHINGTON ST",
"city": "CONWAY",
"state": "NH",
"postal_code": "038186044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BAY ST",
"city": "WOLFEBORO",
"state": "NH",
"postal_code": "038944320",
"telephone_number": "603-569-1884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOTZ",
"first_name": "YVONNE",
"middle_name": "VARRIEUR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2009-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "1115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2068350",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wolfeboro, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.