Organization Active NPI

Partners in Family Wellness, PLLC

  • Clinical Social Worker
  • Salem, NH
National Provider Identifier
1447585948
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PARTNERS IN FAMILY WELLNESS, PLLC
Practice address
15 Ermer Rd
Suite 208
Salem, NH 03079-1271
Phone
(603) 898-3388
Fax
(603) 898-3390
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Joan Frances Tavares, LICSWNPI 1073566055
Title
Member
Phone
(603) 898-3388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

15 Ermer Rd
Suite 208
Salem, NH 03079-1271

Mailing address

15 Ermer Rd
Suite 208
Salem, NH 03079-1271
Phone (603) 898-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100816000929 NH Part B Supplier - Clinic/Group Practice 2961536776 Receives reassigned benefits from 2 practitioners
Practice locations: Salem, NH

National Provider Directory

National Provider Directory

Locations

218 East Rd
Ste 110
Hampstead, NH 03841
Phone (603) 898-3388

15 Ermer Rd
Unit 208
Salem, NH 03079
Phone (603) 898-3388

2013 San Jose Blvd
Carlsbad, NM 88220
Phone (505) 887-2455

3823 National Parks Hwy
Carlsbad, NM 88220
Phone (575) 628-5066

2420 W Pierce St
Ste 100
Carlsbad, NM 88220
Phone (505) 628-8837

2420 W Pierce St
Ste 5A
Carlsbad, NM 88220

2402 W Pierce St
Ste 2A
Carlsbad, NM 88220
Phone (505) 628-0926

2402 W Pierce St
Ste 5A
Carlsbad, NM 88220
Phone (575) 887-5321

5419 N Lovington Hwy
Ste 1
Hobbs, NM 88240
Phone (505) 392-1973

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1447585948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ERMER RD",
            "address_2": "SUITE 208",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030791271",
            "telephone_number": "603-898-3388",
            "fax_number": "603-898-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ERMER RD",
            "address_2": "SUITE 208",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030791271",
            "telephone_number": "603-898-3388",
            "fax_number": "603-898-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN FAMILY WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "TAVARES",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "603-898-3388",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.