Erik Bertram Johannessen, MSSS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

71 Issued in NH

Practice address

718 Smyth Rd
Manchester, NH 03104-7007

Phone

(603) 624-4366

Fax

(603) 629-3217

NPI assigned

Apr 24, 2007

Last updated

Jun 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1467671040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SMYTH RD",
            "address_2": "VA MEDICAL CENTER",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "603-624-4366",
            "fax_number": "603-629-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SMYTH RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031047007",
            "telephone_number": "603-624-4366",
            "fax_number": "603-629-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNESSEN",
        "first_name": "ERIK",
        "middle_name": "BERTRAM",
        "name_prefix": "Mr.",
        "credential": "MSSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "71",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo-Anne Johnson DMD PA
• Lisa D. Jobin, LCMHC, MLADC
• Sarah Jobin
• Colleen Del Rosario Jocson, M.D.
• Samuel Joffe, M.D.
• Kellie Johansen, LCMHC
• Jinu Jacob John, M.D.
• Meaghan Colleen Johns, LICSW
• Johnson ABA Consulting, LLC
• Johnson Orthodontics, PLLC (Mehan and Johnson Orthodontics)

• Clinical Social Worker in Manchester, NH
• Providers in Manchester, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.