Individual provider Active NPI

Debra Sue Sosin, LICSW MSW

  • Clinical Social Worker
  • Nashua, NH
National Provider Identifier
1457340218
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
407 Issued in NH
Practice address
15 Prospect St
Nashua, NH 03060-3923
Phone
(603) 889-6147
Fax
(603) 594-9649
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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 407 NH Primary

Addresses

Primary practice location

15 Prospect St
Nashua, NH 03060-3923

Mailing address

15 Prospect St
Nashua, NH 03060-3923
Phone (603) 889-6147

Other identifiers 1

IdentifierTypeStateIssuer
14Y000729NH01OtherNHBCBS

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
407NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Council of Nashua NH, Inc. PastSince Mar 27, 2011 Accepting new patients
Community Council of Nashua NH Past Accepting new patients

Organizations & group practices 2

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1457340218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603923",
            "telephone_number": "603-889-6147",
            "fax_number": "603-594-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603923",
            "telephone_number": "603-889-6147",
            "fax_number": "603-594-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSIN",
        "first_name": "DEBRA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LICSW MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14Y000729NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.