Lisa B Eberhart, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

199 Issued in NH

Practice address

21 Green St
Concord, NH 03301-4000

Phone

(603) 225-2985

Fax

(603) 225-6160

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235288200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GREEN ST",
            "address_2": "WOMANKIND COUNSELING CENTER",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014000",
            "telephone_number": "603-225-2985",
            "fax_number": "603-225-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GREEN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014000",
            "telephone_number": "603-225-2985",
            "fax_number": "603-225-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHART",
        "first_name": "LISA",
        "middle_name": "B",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30011057",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1403787Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1037705",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janine Nicole Dyson, PA-C
• Virginia Marie Early, MA
• Kellee Jo Easler
• East Point Recovery Centers NH LLC
• Eastern Light Psychiatry
• Sarah Lee Eberhart, PT,DPT
• Lauren Ebert
• Mary Eckert, MD
• Jonathan J Eddinger, M.D.
• Edward P Newcott

• Clinical Social Worker in Concord, NH
• Providers in Concord, 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 8, 2007; 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.