Individual provider Active NPI

John David Soucy Jr., MSW, LICSW

  • Clinical Social Worker
  • Manchester, NH
National Provider Identifier
1184532871
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1259 Issued in NH
Practice address
200 Zachary Rd
Manchester, NH 03109-5607
Phone
(603) 206-6675
Fax
(603) 647-8426
NPI assigned
Sep 1, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 1259 NH Primary

Addresses

Primary practice location

200 Zachary Rd
Manchester, NH 03109-5607

Mailing address

200 Zachary Rd
Manchester, NH 03109-5607
Phone (603) 206-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1184532871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ZACHARY RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031095607",
            "telephone_number": "603-206-6675",
            "fax_number": "603-647-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ZACHARY RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031095607",
            "telephone_number": "603-206-6675",
            "fax_number": "603-647-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUCY",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.