Active NPI
Maureen O Brien, MSSA LICSW
- Clinical Social Worker
- Peterborough, NH
National Provider Identifier
1336230986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 240
- Practice address
- 20 Grove Street
Peterborough Clinical Associates
Peterborough, NH 03458 - Phone
- (603) 924-7462
- Fax
- (603) 924-2138
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 240 | NH | Primary |
| Clinical Social Worker | 1041C0700X | 1015861 | MA |
Addresses
Primary practice location
20 Grove Street
Peterborough Clinical Associates
Peterborough, NH 03458
Mailing address
PO Box 125
Fitzwilliam, NH 03447
Phone (603) 924-7462
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NH240 | Other | AETNA | |
| P07848 | Other | BLUE CROSS MA | |
| 1039550 | Other | BEACON HEALTH | |
| 80001345 | Medicaid | NH | |
| NH240 | Other | NAHGA | |
| 006245 | Other | VALUE OPTIONS | |
| NH240 | Other | C B A | |
| NH240 | Other | HEALTH CARE VALUE MANAGEM | |
| 1402015Y0NH01 | Other | ANTHEM | |
| 15398 | Other | CIGNA | |
| NH240 | Other | BENEFIT PLAN | |
| NH240 | Other | PBH | |
| NH240 | Other | TRICARE | |
| NH240 | Other | UBH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051029000102 | NH | Practitioner - Clinical Social Worker | 4688691520 | Practice locations: Peterborough, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20 Grove St
Peterborough, NH 03458-1470
Phone (603) 924-7462
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1015861 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1336230986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 125",
"city": "FITZWILLIAM",
"state": "NH",
"postal_code": "03447",
"telephone_number": "603-924-7462",
"fax_number": "603-924-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 GROVE STREET",
"address_2": "PETERBOROUGH CLINICAL ASSOCIATES",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "03458",
"telephone_number": "603-924-7462",
"fax_number": "603-924-2138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O BRIEN",
"first_name": "MAUREEN",
"name_prefix": "Ms.",
"credential": "MSSA LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "240",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1015861",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "NH240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MA",
"identifier": "P07848",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH",
"identifier": "1039550",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80001345",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NAHGA",
"identifier": "NH240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "006245",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "C B A",
"identifier": "NH240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CARE VALUE MANAGEM",
"identifier": "NH240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1402015Y0NH01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "15398",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BENEFIT PLAN",
"identifier": "NH240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PBH",
"identifier": "NH240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "NH240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "NH240",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Peterborough, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.