Individual provider Active NPI

Stephanie Jalbert Emmons, MSW, LICSW

  • Clinical Social Worker
  • Manchester, NH
National Provider Identifier
1457656027
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02-0222164 Issued in NH
Practice address
464 Chestnut St
Manchester, NH 03101-1804
Phone
(603) 518-4000
Fax
(603) 668-6260
NPI assigned
Jan 12, 2011
Last updated
Jan 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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 02-0222164 NH Primary

Addresses

Primary practice location

464 Chestnut St
Manchester, NH 03101-1804

Mailing address

464 Chestnut St
Manchester, NH 03101-1804
Phone (603) 518-4000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
02-0222164NHMDClinical Social Worker
1552NHMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1457656027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 CHESTNUT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011804",
            "telephone_number": "603-518-4000",
            "fax_number": "603-668-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 CHESTNUT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011804",
            "telephone_number": "603-518-4000",
            "fax_number": "603-668-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "STEPHANIE",
        "middle_name": "JALBERT",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "02-0222164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.