Individual provider Active NPI

Ajilla Sara Pospesil, LICSW

  • Clinical Social Worker
  • Littleton, NH
National Provider Identifier
1194875773
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
673 Issued in NH
Practice address
423 Union St
# 20
Littleton, NH 03561-5621
Phone
(603) 444-8900
Fax
(603) 444-1582
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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 673 NH Primary

Addresses

Primary practice location

423 Union St
# 20
Littleton, NH 03561-5621

Mailing address

423 Union St
# 20
Littleton, NH 03561-5621
Phone (603) 444-8900

Other identifiers 2

IdentifierTypeStateIssuer
3072566MedicaidNH
1017503MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
673NHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1194875773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 UNION ST",
            "address_2": "# 20",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035615621",
            "telephone_number": "603-444-8900",
            "fax_number": "603-444-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 UNION ST",
            "address_2": "# 20",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035615621",
            "telephone_number": "603-444-8900",
            "fax_number": "603-444-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSPESIL",
        "first_name": "AJILLA",
        "middle_name": "SARA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072566",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017503",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.