Individual provider Active NPI

Judith A Katz, LICSW

  • Clinical Social Worker
  • New London, NH
National Provider Identifier
1376089771
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2702 Issued in NH
Practice address
35 Newport Rd
New London, NH 03257-5413
Phone
(603) 865-1321
Fax
(603) 865-1327
NPI assigned
Jan 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2702 NH Primary
Clinical Social Worker 1041C0700X 089.0000222 VT

Addresses

Primary practice location

35 Newport Rd
New London, NH 03257-5413

Mailing address

35 Newport Rd
New London, NH 03257-5413
Phone (603) 865-1321

Other practice location 1

53 S Main St Ste 206&208
Hanover, NH 03755-2022
Phone (603) 865-1321

Other practice location 2

2 Buck Rd Ste J
Hanover, NH 03755-2715
Phone (603) 865-1321

Other practice location 3

251 Elm St
Claremont, NH 03743-4940
Phone (603) 865-1321

Other practice location 4

144 Highland St
Plymouth, NH 03264-1240
Phone (603) 865-1321

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
I20230731003079 NH Practitioner - Clinical Social Worker 3577847698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Associates of New London PLLCGroup PAC ID 0042369910, 45 clinicians

Practice addresses (Care Compare)

35 Newport Rd
New London, NH 03257-5413
Phone (603) 865-1321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0000222VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of New London PLLC Clinical CurrentSince Jul 5, 2023 Accepting new patients
Brattleboro Retreat PastSince Jan 30, 2017 Accepting new patients

Locations

251 Elm St
Claremont, NH 03743
Phone (603) 542-3800

2 Buck Rd
Ste J
Hanover, NH 03755
Phone 6038651321 ext. 161

53 S Main St
Ste 206208
Hanover, NH 03755

35 Newport Rd
New London, NH 03257
Phone (603) 526-4230

144 Highland St
Plymouth, NH 03264
Phone (603) 536-1441

Organizations & group practices 2

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": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1376089771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NEWPORT RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575413",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NEWPORT RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575413",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 S Main St Ste 206&208",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "NH",
            "postal_code": "037552022",
            "country_code": "US",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Buck Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "NH",
            "postal_code": "037552715",
            "country_code": "US",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 Elm St",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "NH",
            "postal_code": "037434940",
            "country_code": "US",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 Highland St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "NH",
            "postal_code": "032641240",
            "country_code": "US",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JUDITH",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2702",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0000222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, NH

Sources for this page

Verify at the official NPI Registry.