Laurie Ann Ekberg, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1129 Issued in NH

Practice address

35 Third St
Dover, NH 03820-3316

Phone

(603) 998-5186

Fax

(866) 753-1727

NPI assigned

Jul 18, 2012

Last updated

Jul 18, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Home Base Collaborative Family Counseling

  dba Home Base Collaborative Family Counseling LLC

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1043566334
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1376898023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3486",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031053486",
            "telephone_number": "603-998-5186",
            "fax_number": "866-753-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 THIRD ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203316",
            "telephone_number": "603-998-5186",
            "fax_number": "866-753-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKBERG",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Eaton, LADC,LCS
• Sarah Eckenberger, APRN
• Konstantinos Economopoulos, MD, PHD, MENG
• Edelweiss Family Care & Telehealth,LLC
• Erika Edgar
• Jonathan Eldor, M.D.
• John Eldredge, MSW, MLADC
• Caitlin Eldridge, LCMHC
• Jordan Elias
• Priscilla Ell, MS, CCC-SLP

• Clinical Social Worker in Dover, NH
• Providers in Dover, 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 Jul 18, 2012; 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.