Active NPI
Carol Swenson Jue, LICSW
- Clinical Social Worker
- Keene, NH
National Provider Identifier
1629181722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 491
- Practice address
- 64 Main St
Suite 301
Keene, NH 03431-3701 - Phone
- (603) 283-1504
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 491 | NH | Primary |
Addresses
Primary practice location
64 Main St
Suite 301
Keene, NH 03431-3701
Mailing address
23 Ridgewood Ave
Keene, NH 03431-2869
Phone (603) 283-1504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81263595 | Medicaid | NH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 491 | NH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1629181722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 RIDGEWOOD AVE",
"city": "KEENE",
"state": "NH",
"postal_code": "034312869",
"telephone_number": "603-283-1504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 MAIN ST",
"address_2": "SUITE 301",
"city": "KEENE",
"state": "NH",
"postal_code": "034313701",
"telephone_number": "603-283-1504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUE",
"first_name": "CAROL",
"middle_name": "SWENSON",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81263595",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.