Stanley Michael Fonder, MSW,LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

733 Issued in NH

Practice address

39 Simon St
Suite 2a
Nashua, NH 03060-3046

Phone

(603) 888-4347

Fax

(603) 577-9157

NPI assigned

Oct 18, 2006

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

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

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Merrimack Valley Counseling AssociationGroup PAC ID 1557325172, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Merrimack Valley Counseling Association

  • Psychologist
  • Nashua, NH
  • NPI 1508905472

  Clinical

  Medicare reassignment Care Compare group NPD
• Eren Kurtay-Sozmen, MD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashua, NH
  • NPI 1306005848
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609957638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282",
            "city": "WILTON",
            "state": "NH",
            "postal_code": "030860282",
            "telephone_number": "603-654-4331",
            "fax_number": "603-577-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SIMON ST",
            "address_2": "SUITE 2A",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603046",
            "telephone_number": "603-888-4347",
            "fax_number": "603-577-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDER",
        "first_name": "STANLEY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSW,LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FMP-DHC-LLP
• Focus on Fitness, Inc.
• Bethany Fogel
• Veronica Donoghue Foley, M.S., CCC-A
• Raymond Folven, PH.D.
• Taylor J Fontaine
• For Eyes Optical of PA (For Eyes)
• Jason Forbes, LICSW
• Mary Fordham, MS
• Brittany Forsythe, BA

• Clinical Social Worker in Nashua, NH
• Providers in Nashua, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.