Mindful Alteration

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1771 Issued in NH

Legal business name

MINDFUL ALTERATION

Practice address

15 School St
Dover, NH 03820-3529

Phone

(603) 998-1523

NPI assigned

Dec 22, 2014

Organization subpart

No

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

Authorized official

Name

Jennifer Tanner Olgiati, LICSW

Title

Licensed Clinical Social Worker

Phone

(603) 998-1523

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1265820492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SCHOOL ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203529",
            "telephone_number": "603-998-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SCHOOL ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203529",
            "telephone_number": "603-998-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL ALTERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "OLGIATI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "TANNER",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "603-998-1523",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanda Mikone-Hurnyi
• Emad Ramses Milad, MD
• Robert Sambajon Milhauser, MD
• Christine Smith Miller, M.S.,CCC-SLP
• Katheryn Miller
• Shelby Minihane
• Gail Minschwaner, LICSW
• Nicole Danielle Mitchell
• Peter K Mocklis, OD
• Elisa Monahan, MS

• Clinical Social Worker in Dover, NH
• Providers in Dover, 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 Dec 22, 2014; 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.