Individual provider Active NPI

Airi Mooers, LICSW

  • Clinical Social Worker
  • Dover, NH
National Provider Identifier
1356745582
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2037 Issued in NH
Practice address
6 Old Rochester Rd Ste 106
Dover, NH 03820-2028
Phone
(603) 969-2897
NPI assigned
Oct 17, 2014
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X
Clinical Social Worker 1041C0700X 2037 NH Primary

Addresses

Primary practice location

6 Old Rochester Rd Ste 106
Dover, NH 03820-2028

Mailing address

6 Old Rochester Rd Ste 106
Dover, NH 03820-2028
Phone (603) 969-2897

Other practice location 1

1145 Sagamore Ave
Portsmouth, NH 03801-5503
Phone (603) 431-6703 ext. 5147

Other identifiers 1

IdentifierTypeStateIssuer
3078870MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2037NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Mental Health Center, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1356745582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLD ROCHESTER RD STE 106",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202028",
            "telephone_number": "603-969-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OLD ROCHESTER RD STE 106",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202028",
            "telephone_number": "603-969-2897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Sagamore Ave",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038015503",
            "country_code": "US",
            "telephone_number": "603-431-6703 x5147",
            "fax_number": "603-430-3753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOERS",
        "first_name": "AIRI",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078870",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.