Evelyn Robbennolt-Jones, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1812 Issued in NH

Practice address

173 Middle St
Lancaster, NH 03584-3508

Phone

(603) 788-5075

Fax

(603) 788-5285

NPI assigned

Apr 5, 2010

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Weeks Medical CenterGroup PAC ID 2769461284, shared by 10 NPIs, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Weeks Medical Center

  • Critical Access Hospital
  • Lancaster, NH
  • NPI 1265536718
  Medicare reassignment NPD
• Weeks Medical Center

  • Rural Health Clinic/Center
  • Whitefield, NH
  • NPI 1508819566
  Medicare reassignment NPD
• Weeks Medical Center

  • Rural Health Clinic/Center
  • Littleton, NH
  • NPI 1578155560
  NPD

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1346565132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MIDDLE ST",
            "city": "LANCASTER",
            "state": "NH",
            "postal_code": "035843508",
            "telephone_number": "603-788-5029",
            "fax_number": "603-788-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MIDDLE ST",
            "city": "LANCASTER",
            "state": "NH",
            "postal_code": "035843508",
            "telephone_number": "603-788-5075",
            "fax_number": "603-788-5285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Clover Ln",
            "address_purpose": "LOCATION",
            "city": "Whitefield",
            "state": "NH",
            "postal_code": "035983343",
            "country_code": "US",
            "telephone_number": "603-788-5075",
            "fax_number": "603-788-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBENNOLT-JONES",
        "first_name": "EVELYN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024196",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3099309",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern New Hampshire Healthcare Collaborative Inc (Northwoods Home Health & Hospice)
• Northern New Hampshire Healthcare Collaborative Inc (Northwoods Home Health & Hospice)
• Maude Oetking, MD
• Amanda Reardon
• Gary M Rexford, L.AC.
• Anna Lee Ruelle, D.P.M.
• Theresa Rutherford, OTR/L
• Samuel P. Shippee (Shippee Family Eye Care)
• Rachel E Sanborn
• Amber Rae Schmidt, D.O.

• Clinical Social Worker in Lancaster, NH
• Providers in Lancaster, 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 Feb 16, 2024; 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.

Verify at the official NPI Registry.