Individual provider Active NPI

Anita Carol Black, MS, MSW, LCSW

  • Clinical Social Worker
  • New London, NH
National Provider Identifier
1467615799
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2931 Issued in NH
Practice address
35 Newport Rd
New London, NH 03257-5413
Phone
(603) 865-1321
Fax
(603) 865-1327
NPI assigned
Jul 7, 2008
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006051 NC
Clinical Social Worker 1041C0700X 2931 NH Primary

Addresses

Primary practice location

35 Newport Rd
New London, NH 03257-5413

Mailing address

35 Newport Rd
New London, NH 03257-5413
Phone (603) 865-1321

Other names 1

  • Anita Carol McCarthy Former name

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
I20230322001669 NH Practitioner - Clinical Social Worker 0749654341 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C006051NCMDClinical Social Worker
2931NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of New London PLLC Clinical CurrentSince Mar 9, 2023 Accepting new patients
Carolina Parenting Solutions, PLLC Clinical Past Accepting new patients

Locations

251 Elm St
Claremont, NH 03743
Phone (603) 542-3800

2 Buck Rd
Ste C
Hanover, NH 03755

35 Newport Rd
New London, NH 03257
Phone (603) 526-4230

144 Highland St
Plymouth, NH 03264
Phone (603) 536-1441

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1467615799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NEWPORT RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575413",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NEWPORT RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575413",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ANITA",
        "middle_name": "CAROL",
        "credential": "MS, MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006051",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "MCCARTHY",
            "middle_name": "CAROL",
            "credential": "MS, MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New London, NH

Sources for this page

Verify at the official NPI Registry.