Douglas Stephens Ed D PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1542 Issued in NH

Legal business name

DOUGLAS STEPHENS ED D PLLC

Practice address

30 Charter St
10
Exeter, NH 03833-2343

Phone

(518) 222-0133

Fax

(603) 232-3079

NPI assigned

Mar 7, 2015

Organization subpart

No

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

Authorized official

Name

Douglas B Stephens, EDDNPI 1558478339

Title

Owner

Phone

(518) 222-0133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas B Stephens, LICSW

  • Marriage & Family Therapist
  • Hudson Falls, NY
  • NPI 1558478339

  Clinical, NH

  Medicare reassignment NPD Authorized official
• Erica Hochberg, LICSW

  • Clinical Social Worker
  • Exeter, NH
  • NPI 1376138834
  Medicare reassignment NPD
• Bianca Staudt, MSW

  • Clinical Social Worker
  • Exeter, NH
  • NPI 1871209106
  Medicare reassignment NPD

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

{
    "created_epoch": "1425686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425686400000",
    "number": "1184017790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CHARTER ST",
            "address_2": "10",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332343",
            "telephone_number": "518-222-0133",
            "fax_number": "603-232-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CHARTER ST",
            "address_2": "10",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332343",
            "telephone_number": "518-222-0133",
            "fax_number": "603-232-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS STEPHENS ED D PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-07",
        "last_updated": "2015-03-07",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-222-0133",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen S Doherty, LSSW, CPS
• Victoria Leigh Donascimento, MD
• David B Donsker, M.D.
• Christen M Doucet, MD
• Marie D Doucette, LMT
• Jennifer Lynn Dowling, MSN, APRN, PMHNP-BC
• Karen F Drelick, LMT
• Sara Drelick, LMT
• Sharyn Beth Drew, PHD
• Lauren Drinker

• Clinical Social Worker in Exeter, NH
• Providers in Exeter, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.