John M Iudice

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1637 Issued in NH

Legal business name

JOHN M IUDICE

Practice address

14 Manchester SQ
290
Portsmouth, NH 03801-8001

Phone

(603) 591-3707

Fax

(603) 583-5391

NPI assigned

Apr 20, 2016

Last updated

Apr 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John M Iudice, LICSW, MLADCNPI 1356682611

Title

Owner

Phone

(603) 591-3707

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John M Iudice, LICSW, MLADC

  • Clinical Social Worker
  • Portsmouth, NH
  • NPI 1356682611
  Authorized official Same address or phone

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1316391980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MANCHESTER SQ",
            "address_2": "290",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038018001",
            "telephone_number": "603-591-3707",
            "fax_number": "603-583-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MANCHESTER SQ",
            "address_2": "290",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038018001",
            "telephone_number": "603-591-3707",
            "fax_number": "603-583-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M IUDICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "IUDICE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-591-3707",
        "authorized_official_credential": "LICSW, MLADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sunila Jo, MD
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• Deborah Ford Johnson
• Elissa Johnson, M.ED., BCBA
• Isabel Anita Johnston, PT, DPT

• Clinical Social Worker in Portsmouth, NH
• Providers in Portsmouth, 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 Apr 20, 2016; 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.