Sean Breidenthal, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1709 Issued in NH

Practice address

599 Tenney Mountain Hwy
Plymouth, NH 03264-3147

Phone

(603) 524-1100

NPI assigned

Jan 5, 2011

Last updated

Apr 29, 2013By the provider in NPPES

Sex

Male

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

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• Healthfirst Family Care Center, Inc.

  dba Isaiah 61 Cafe

  • Federally Qualified Health Center (FQHC)
  • Laconia, NH
  • NPI 1972203347
  NPD (past)
• Mid-State Health Center

  • Family Medicine Physician
  • Plymouth, NH
  • NPI 1932920857
  NPD (past)
• The Lakes Region Mental Health Center, Inc.

  dba Genesis Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laconia, NH
  • NPI 1902994866
  NPD (past)

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1386948370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463432",
            "telephone_number": "603-524-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 TENNEY MOUNTAIN HWY",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643147",
            "telephone_number": "603-524-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIDENTHAL",
        "first_name": "SEAN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jameson Stuart Boswell, PA
• Kevin Bradley Botelho, APRN
• Patrick Bowers, D.O.
• Brand & Sawicki, D.D.S.
• Paul R Brand, DDS
• Ralph Patrick Broadwater, M.D.
• Mackenzie Brooks, LICSW
• Anna Brown
• Savannah Lee Brown, APRN
• Mary Louise C Brozena, AUD

• Clinical Social Worker in Plymouth, NH
• Providers in Plymouth, 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 Apr 29, 2013; 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.

Verify at the official NPI Registry.