Active NPI
Thomas J. Cormican
- Clinical Social Worker
- Rochester, NH
National Provider Identifier
1245695014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1745
- Legal business name
- THOMAS J. CORMICAN
- Practice address
- 20 Ledgeview Dr
Rochester, NH 03839-5619 - Phone
- (603) 923-8836
- NPI assigned
- Dec 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas J. Cormican, LICSW
- Title
- Owner/Clinician
- Phone
- (603) 923-8836
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1745 | NH | Primary |
Addresses
Primary practice location
20 Ledgeview Dr
Rochester, NH 03839-5619
Mailing address
20 Ledgeview Dr
Rochester, NH 03839-5619
Phone (603) 923-8836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3090878 | Medicaid | NH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Rochester, NH
- NPI 1003879206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450742400000",
"number": "1245695014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 LEDGEVIEW DR",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038395619",
"telephone_number": "603-923-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 LEDGEVIEW DR",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038395619",
"telephone_number": "603-923-8836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS J. CORMICAN",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-22",
"last_updated": "2015-12-22",
"status": "A",
"authorized_official_last_name": "CORMICAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "603-923-8836",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "1745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3090878",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.