Active NPI
Margo A Wiebold, CLINICAL SOCIAL WORK
- Clinical Social Worker
- Portsmouth, NH
National Provider Identifier
1164859633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 441
- Practice address
- 1039 Islington St
Suite 16
Portsmouth, NH 03801-4262 - Phone
- (603) 431-0505
- Fax
- (603) 431-2228
- NPI assigned
- Sep 30, 2013
- 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 | 441 | NH | Primary |
Addresses
Primary practice location
1039 Islington St
Suite 16
Portsmouth, NH 03801-4262
Mailing address
1039 Islington St
Suite 16
Portsmouth, NH 03801-4262
Phone (603) 431-0505
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 441 | NH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benda Healthcare, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Portsmouth, NH
- NPI 1184649006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1164859633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1039 ISLINGTON ST",
"address_2": "SUITE 16",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014262",
"telephone_number": "603-431-0505",
"fax_number": "603-431-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 ISLINGTON ST",
"address_2": "SUITE 16",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014262",
"telephone_number": "603-431-0505",
"fax_number": "603-431-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEBOLD",
"first_name": "MARGO",
"middle_name": "A",
"credential": "CLINICAL SOCIAL WORK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-30",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.