Mary Beth Bloser, Licsw

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

863 Issued in NH

Legal business name

MARY BETH BLOSER, LICSW

Practice address

20 Ladd St Ste 400
Portsmouth, NH 03801-4089

Phone

(603) 828-3216

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Mary Beth Bloser, LICSW

Title

Owner

Phone

(603) 828-3216

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1609286665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LADD ST STE 400",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014089",
            "telephone_number": "603-828-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LADD ST STE 400",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014089",
            "telephone_number": "603-828-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BETH BLOSER, LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "BLOSER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-828-3216",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Portsmouth, NH
• Providers in Portsmouth, 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 Nov 25, 2014; 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.