Active NPI
Cynthia S Coraccio, LCSW
- Clinical Social Worker
- Nashua, NH
National Provider Identifier
1174501118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 389
- Practice address
- 65 Technology Way
Suite 3W7
Nashua, NH 03060-3245 - Phone
- (603) 886-5565
- Fax
- (603) 886-8642
- NPI assigned
- Jan 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 389 | NH | Primary |
| Clinical Social Worker | 1041C0700X | 107452 | MA |
Addresses
Primary practice location
65 Technology Way
Suite 3W7
Nashua, NH 03060-3245
Mailing address
65 Technology Way
Suite 3W7
Nashua, NH 03060-3245
Phone (603) 886-5565
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30420969 | Medicaid | NH | |
| 1015980 | Other | BEACON FALLON GROUP NUMBE | |
| 1036707 | Other | CIGNA BEHAVIORAL HEALTH | |
| 3144743901 | Other | PACIFICARE | |
| 334686 | Other | MAGELLAN GROUP NUMBER | |
| 20514928 | Other | UNITED HEALTH CARE GROUP | |
| 103287 | Other | MHN | |
| 31447439 | Other | TRICARE | |
| 334686 | Other | AETNA GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Boston University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
65 Technology Way
Nashua, NH 03060-3245
Phone (603) 886-5565
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107452 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Center for Comprehensive Counseling Services | Current | Accepting new patients |
Locations
65 Technology Way
Nashua, NH 03060
Phone (603) 886-5565
4 Bud Way
Ste 9
Nashua, NH 03063
Phone (603) 886-5565
65 Technology Way
Ste 3W7
Nashua, NH 03060
Phone (603) 886-5565
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.
-
- Clinical Psychologist
- Nashua, NH
- NPI 1992911168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174501118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 TECHNOLOGY WAY",
"address_2": "SUITE 3W7",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603245",
"telephone_number": "603-886-5565",
"fax_number": "603-886-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 TECHNOLOGY WAY",
"address_2": "SUITE 3W7",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603245",
"telephone_number": "603-886-5565",
"fax_number": "603-886-8642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORACCIO",
"first_name": "CYNTHIA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "389",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "107452",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30420969",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON FALLON GROUP NUMBE",
"identifier": "1015980",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "1036707",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "3144743901",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN GROUP NUMBER",
"identifier": "334686",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE GROUP",
"identifier": "20514928",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "103287",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "31447439",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP NUMBER",
"identifier": "334686",
"state": null
}
],
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.