Lindsay Prudhomme, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Pelham, NH
NPI 1306236047 · NPPES record last updated Sep 25, 2023
Key facts
- NPI
- 1306236047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2249 (NH)
- Practice address
- 17 Windham Rd FL 2
Pelham, NH 03076-2371 - Phone
- (603) 321-4086
- NPI assigned
- Feb 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221727 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodhi Counseling Services LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 221727 | MA | |
| Clinical Social Worker | 1041C0700X | 2249 | NH | Yes |
Addresses
Primary practice location
17 Windham Rd FL 2
Pelham, NH 03076-2371
Mailing address
17 Windham Rd FL 2
Pelham, NH 03076-2371
Phone (603) 321-4086
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3119186 | Medicaid | NH |
Other providers in Pelham, NH
- Pelham Healthcare Associates PLLC
- Madeline Perry
- Christian Erik Peterson
- Morgan Pinksten
- Progress Not Perfection LLC
- Daryelle M Puzzanghera
- Randazzo Dental Associates
- Ronald W Randazzo
- Rite Aid of New Hampshire Inc
- Doreen Rossi
All providers in Pelham, NH · Clinical Social Worker in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.