Individual provider Active NPI

Lisa R. Landolt, MSW LICSW

  • Clinical Social Worker
  • Nashua, NH
National Provider Identifier
1336469089
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1527 Issued in NH
Practice address
400 Amherst St Ste 403
Nashua, NH 03063-4225
Phone
(603) 809-1534
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1527 NH Primary

Addresses

Primary practice location

400 Amherst St Ste 403
Nashua, NH 03063-4225

Mailing address

77 Deacon LN
Hollis, NH 03049-6321
Phone (603) 809-1534

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180601001147 NH Practitioner - Clinical Social Worker 0042575656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Amherst St
Suite 403
Nashua, NH 03063-4225
Phone (603) 809-1534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Centered Counseling of New England, PLLC Clinical CurrentSince Mar 18, 2018 Accepting new patients

Locations

589 W Hollis St
Ste 203
Nashua, NH 03062
Phone (603) 722-6361

400 Amherst St
Ste 403
Nashua, NH 03063
Phone (603) 809-1534

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1336469089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 DEACON LN",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "030496321",
            "telephone_number": "603-809-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AMHERST ST STE 403",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634225",
            "telephone_number": "603-809-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDOLT",
        "first_name": "LISA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.