Individual provider Active NPI

Virginia S Cole, LCSW

  • Clinical Social Worker
  • Somersworth, NH
National Provider Identifier
1396917217
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1313 Issued in NH
Practice address
169 Blackwater Rd
Somersworth, NH 03878-1206
Phone
(603) 749-7893
NPI assigned
Apr 1, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1313 NH Primary

Addresses

Primary practice location

169 Blackwater Rd
Somersworth, NH 03878-1206

Mailing address

169 Blackwater Rd
Somersworth, NH 03878-1206
Phone (603) 749-7893

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
I20110311000617 NH Practitioner - Clinical Social Worker 4688856651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1396917217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 BLACKWATER RD",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781206",
            "telephone_number": "603-749-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 BLACKWATER RD",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781206",
            "telephone_number": "603-749-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "VIRGINIA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.