Individual provider Active NPI

Emily Gravenhorst, LICSW

  • Clinical Social Worker
  • Hanover, NH
National Provider Identifier
1174170005
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4929 Issued in NH
Practice address
53 S Main St Ste 206
Hanover, NH 03755-2022
Phone
(603) 865-1321
NPI assigned
Aug 26, 2019
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4929 NH Primary

Addresses

Primary practice location

53 S Main St Ste 206
Hanover, NH 03755-2022

Mailing address

35 Newport Rd
New London, NH 03257-5413
Phone (603) 865-1321

Other names 1

  • Emily Ashey Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of New London PLLC Clinical CurrentSince Sep 5, 2024 Accepting new patients
The Mental Health Center of Greater Manchester PastSince Sep 1, 2019 Accepting new patients

Locations

53 S Main St
Ste 206208
Hanover, NH 03755

35 Newport Rd
New London, NH 03257
Phone (603) 526-4230

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1174170005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NEWPORT RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575413",
            "telephone_number": "603-865-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S MAIN ST STE 206",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552022",
            "telephone_number": "603-865-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVENHORST",
        "first_name": "EMILY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "4929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ASHEY",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hanover, NH

Sources for this page

Verify at the official NPI Registry.