Active NPI
Edward Sweeney Redmond, LICSW
- Clinical Social Worker
- Gilford, NH
National Provider Identifier
1386717031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 374
- Practice address
- 25 Country Club Rd
Village West I Ste 405
Gilford, NH 03247 - Phone
- (603) 293-0395
- Fax
- (603) 293-0395
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- 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 | 374 | NH | Primary |
Addresses
Primary practice location
25 Country Club Rd
Village West I Ste 405
Gilford, NH 03247
Mailing address
PO Box 7198
25 Country Club Rd Village West I Ste 405
Gilford, NH 03247
Phone (603) 293-0395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30423994 | Medicaid | NH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 374 | NH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386717031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7198",
"address_2": "25 COUNTRY CLUB RD VILLAGE WEST I STE 405",
"city": "GILFORD",
"state": "NH",
"postal_code": "03247",
"telephone_number": "603-293-0395",
"fax_number": "603-293-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 COUNTRY CLUB RD",
"address_2": "VILLAGE WEST I STE 405",
"city": "GILFORD",
"state": "NH",
"postal_code": "03247",
"telephone_number": "603-293-0395",
"fax_number": "603-293-0395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMOND",
"first_name": "EDWARD",
"middle_name": "SWEENEY",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30423994",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gilford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.