Active NPI
Abigail J Trnovsky, LISCW
- Clinical Social Worker
- Dover, NH
National Provider Identifier
1356511265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1641
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3089550 | Medicaid | NH |
Other names 1
- Ms. Abigail J Gingrich
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1641 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Water Counseling and Wellness, PLLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Dover, NH
- NPI 1225675317
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.