Active NPI
Hammond Fuller Brown, LICSW
- Clinical Social Worker
- Laconia, NH
National Provider Identifier
1215047071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 487
- Practice address
- 67 Water St
Suite 205
Laconia, NH 03246-3300 - Phone
- (603) 528-6086
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 487 | NH | Primary |
Addresses
Primary practice location
67 Water St
Suite 205
Laconia, NH 03246-3300
Mailing address
67 Water St
Suite 205
Laconia, NH 03246-3300
Phone (603) 528-6086
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1039374 | Other | CIGNA BEHAVIORAL HEALTH | |
| 30420183 | Medicaid | NH | |
| 1406027Y0NH01 | Other | NH | ANTHEM BC/BS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1215047071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 WATER ST",
"address_2": "SUITE 205",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463300",
"telephone_number": "603-528-6086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 WATER ST",
"address_2": "SUITE 205",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463300",
"telephone_number": "603-528-6086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "HAMMOND",
"middle_name": "FULLER",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "1039374",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30420183",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "1406027Y0NH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.