Active NPI
Rachael Despard Robertson, LICSW
- Clinical Social Worker
- Newmarket, NH
National Provider Identifier
1184940454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1425
- Practice address
- 207 S Main St
Newmarket, NH 03857-1843 - Phone
- (603) 659-3106
- Fax
- (603) 659-8003
- NPI assigned
- Apr 12, 2010
- Last updated
- Feb 13, 2018
- 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 | 114839 | MA | |
| Clinical Social Worker | 1041C0700X | 1425 | NH | Primary |
Addresses
Primary practice location
207 S Main St
Newmarket, NH 03857-1843
Mailing address
207 S Main St
Newmarket, NH 03857-1843
Phone (603) 659-3106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3110692 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114839 | MA | MD | Clinical Social Worker |
| 1425 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travis Corp | Past | Accepting new patients |
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, 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": "1271030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1184940454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 S MAIN ST",
"city": "NEWMARKET",
"state": "NH",
"postal_code": "038571843",
"telephone_number": "603-659-3106",
"fax_number": "603-659-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S MAIN ST",
"city": "NEWMARKET",
"state": "NH",
"postal_code": "038571843",
"telephone_number": "603-659-3106",
"fax_number": "603-659-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "RACHAEL",
"middle_name": "DESPARD",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-12",
"last_updated": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "114839",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "1425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3110692",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newmarket, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.