Jennifer Lee Nestell/Nielsen, PHD MSW LICSW LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2048 Issued in NH

Practice address

301 Madison Ave
Berlin, NH 03570-1884

Phone

(913) 242-5444

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Jennifer Lee Medgyesi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Neurodevelopmental Institute of New Hampshire, LLC

  • Clinical Neuropsychologist
  • Hooksett, NH
  • NPI 1902007677
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1205970787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035700613",
            "telephone_number": "913-242-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MADISON AVE",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035701884",
            "telephone_number": "913-242-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTELL/NIELSEN",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHD MSW LICSW LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2016030692",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4297",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22907",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MEDGYESI",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "LSCSW, LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mallory Michele Morin, BA
• Howard Mudd, CRNA
• Jesstina April Murphy, RN
• Kristy May Nadeau, BS
• Alida J Nelson
• Janet Marie Nickerson, WAIVER
• North Wood Anesthesia Services, P.C.
• Northern Human Services
• Northern Human Services
• Northern Human Services

• Clinical Social Worker in Berlin, NH
• Providers in Berlin, 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 Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.