Individual provider Active NPI

Cynthia S Coraccio, LCSW

  • Clinical Social Worker
  • Nashua, NH
National Provider Identifier
1174501118
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
389 Issued in NH
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30420969MedicaidNH
1015980OtherBEACON FALLON GROUP NUMBE
1036707OtherCIGNA BEHAVIORAL HEALTH
3144743901OtherPACIFICARE
334686OtherMAGELLAN GROUP NUMBER
20514928OtherUNITED HEALTH CARE GROUP
103287OtherMHN
31447439OtherTRICARE
334686OtherAETNA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000473 NH Practitioner - Clinical Social Worker 5496763013 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
107452MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New England Center for Comprehensive Counseling Services CurrentSince Nov 4, 1993 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.

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

Verify at the official NPI Registry.