Individual provider Active NPI

Jane Anne Pinard, LICSW

  • Clinical Social Worker
  • Manchester, NH
National Provider Identifier
1538335047
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1204 Issued in NH
Practice address
141 Union St
Manchester, NH 03103-5563
Phone
(603) 625-0010
Fax
(603) 625-0075
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 1204 NH Primary

Addresses

Primary practice location

141 Union St
Manchester, NH 03103-5563

Mailing address

540 Chestnut St Ste 102
Manchester, NH 03101-1447
Phone (603) 668-7744

Other practice location 1

540 Chestnut St
Suite 102
Manchester, NH 03101-1447
Phone (603) 668-7744

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
I20190211002081 NH Practitioner - Clinical Social Worker 2062750490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

141 Union St
Manchester, NH 03103-5563
Phone (603) 625-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1204NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
C.R.E.a.T.E. Center for Expressive Arts,Therapy and Education,P.L.L.C. CurrentSince Jan 16, 2019 Accepting new patients
James J. Foster & Associates, LTD CurrentSince Mar 24, 2024 Accepting new patients
James J Foster & Associates, LTD Clinical PastSince Mar 24, 2024 Accepting new patients

Locations

141 Union St
Manchester, NH 03103
Phone (603) 625-0010

Organizations & group practices 3

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": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1538335047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CHESTNUT ST STE 102",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011447",
            "telephone_number": "603-668-7744",
            "fax_number": "603-668-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 UNION ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035563",
            "telephone_number": "603-625-0010",
            "fax_number": "603-625-0075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Chestnut St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031011447",
            "country_code": "US",
            "telephone_number": "603-668-7744",
            "fax_number": "603-668-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINARD",
        "first_name": "JANE",
        "middle_name": "ANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.