Individual provider Active NPI

Elizabeth Ngo, LICSW

  • Clinical Social Worker
  • Amherst, NH
National Provider Identifier
1619325230
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2173 Issued in NH
Practice address
89 State Route 101a Ste 2
Amherst, NH 03031-2290
Phone
(603) 682-8060
Fax
(603) 383-5394
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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 2173 NH Primary

Addresses

Primary practice location

89 State Route 101a Ste 2
Amherst, NH 03031-2290

Mailing address

955 Goffs Falls Rd Ste 5422
Manchester, NH 03103-9700
Phone (603) 682-8060

Other identifiers 2

IdentifierTypeStateIssuer
3123057MedicaidNH
3117229MedicaidNH

Other names 1

  • Elizabeth Villemaire Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2173NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
ADHD Innovations LLC Clinical CurrentSince Nov 1, 2021 Accepting new patients

Locations

89 State Route 101A
Ste 2
Amherst, NH 03031
Phone (603) 682-8060

2 Ash St
Hollis, NH 03049
Phone (603) 239-2335

263 Union Sq
Ste 5
Milford, NH 03055

230 Amherst St
Ste 107
Nashua, NH 03063

Organizations & group practices 1

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1619325230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 GOFFS FALLS RD STE 5422",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031039700",
            "telephone_number": "603-682-8060",
            "fax_number": "603-383-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 STATE ROUTE 101A STE 2",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312290",
            "telephone_number": "603-682-8060",
            "fax_number": "603-383-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3123057",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3117229",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "VILLEMAIRE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.