Individual provider Active NPI

Abigail J Trnovsky, LISCW

  • Clinical Social Worker
  • Dover, NH
National Provider Identifier
1356511265
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1641 Issued in NH
Practice address
15 Old Rollinsford Rd Ste 302
Dover, NH 03820-2819
Phone
(603) 742-9200
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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 1641 NH Primary

Addresses

Primary practice location

15 Old Rollinsford Rd Ste 302
Dover, NH 03820-2819

Mailing address

835 Central Ave Ste 126
Dover, NH 03820-2506
Phone (603) 652-1091

Other practice location 1

839 Central Ave
Dover, NH 03820-2506
Phone (603) 652-1091

Other identifiers 1

IdentifierTypeStateIssuer
3089550MedicaidNH

Other names 1

  • Ms. Abigail J Gingrich Former name

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
I20130205000450 NH Practitioner - Clinical Social Worker 9638323348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

835 Central Ave
Suite 126
Dover, NH 03820-2665
Phone (603) 652-1091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1641NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Water Counseling and Wellness, PLLC Clinical CurrentSince Aug 28, 2019 Accepting new patients

Locations

835 Central Ave
Ste 126
Dover, NH 03820
Phone (603) 652-1091

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": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1356511265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 CENTRAL AVE STE 126",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202506",
            "telephone_number": "603-652-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OLD ROLLINSFORD RD STE 302",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202819",
            "telephone_number": "603-742-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "839 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202506",
            "country_code": "US",
            "telephone_number": "603-652-1091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRNOVSKY",
        "first_name": "ABIGAIL",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LISCW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089550",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "GINGRICH",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.