Individual provider Active NPI

Edmond Christopher Lamontagne

  • Clinical Social Worker
  • Hanover, NH
National Provider Identifier
1639927213
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4911 Issued in NH
Practice address
2 Buck Rd Ste Jandk
Hanover, NH 03755-2715
Phone
(603) 865-1321
NPI assigned
May 9, 2024
Last updated
May 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 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 4911 NH Primary

Addresses

Primary practice location

2 Buck Rd Ste Jandk
Hanover, NH 03755-2715

Mailing address

35 Newport Rd
New London, NH 03257-5413
Phone (603) 865-1321

Other practice location 1

251 Elm St
Claremont, NH 03743-4940
Phone (603) 865-1321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: No
  • 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
I20240918000294 NH Practitioner - Clinical Social Worker 8224579214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4911NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of New London PLLC Clinical CurrentSince Sep 5, 2024 Accepting new patients

Locations

251 Elm St
Claremont, NH 03743
Phone (603) 542-3800

2 Buck Rd
Hanover, NH 03755
Phone (603) 448-6940

2 Buck Rd
Ste C
Hanover, NH 03755

2 Buck Rd
Ste Jandk
Hanover, NH 03755

35 Newport Rd
New London, NH 03257
Phone (603) 526-4230

144 Highland St
Plymouth, NH 03264
Phone (603) 536-1441

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1639927213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NEWPORT RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575413",
            "telephone_number": "603-865-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BUCK RD STE JANDK",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552715",
            "telephone_number": "603-865-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Elm St",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "NH",
            "postal_code": "037434940",
            "country_code": "US",
            "telephone_number": "603-865-1321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMONTAGNE",
        "first_name": "EDMOND",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "4911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

Verify at the official NPI Registry.