Individual provider Active NPI

Charlene Marie Curtis, LCSW LLC

  • Clinical Social Worker
  • Milford, NH
National Provider Identifier
1447203609
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1077 Issued in NH
Practice address
188 Elm St
Milford, NH 03055
Phone
(603) 673-5003
Fax
(603) 673-3002
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1077 NH Primary

Addresses

Primary practice location

188 Elm St
Milford, NH 03055

Mailing address

188 Elm Street
Milford, NH 03055
Phone (603) 673-5003

Other identifiers 4

IdentifierTypeStateIssuer
30422137OtherCLPA
30423250OtherCMRC
30423250MedicaidNH
30424590MedicaidNH

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
I20040526000849 NH Practitioner - Clinical Social Worker 1951382993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

145 Mirona Rd
Suite 230
Portsmouth, NH 03801-5364
Phone (603) 801-8404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charlene Curtis LCSW LLC Clinical CurrentSince Jul 19, 2006 Accepting new patients
Lamora Psychological Associates, P.a. PastSince Jul 15, 2002 Accepting new patients
Charlene Curtis, LLC Licsw Clinical Past Accepting new patients

Locations

145 Mirona Rd
Ste 230
Portsmouth, NH 03801
Phone (603) 801-8404

Organizations & group practices 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447203609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 ELM STREET",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "03055",
            "telephone_number": "603-673-5003",
            "fax_number": "603-673-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 ELM ST",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "03055",
            "telephone_number": "603-673-5003",
            "fax_number": "603-673-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "CHARLENE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLPA",
            "identifier": "30422137",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMRC",
            "identifier": "30423250",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30423250",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30424590",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NH

Sources for this page

Verify at the official NPI Registry.