Individual provider Active NPI

Nanette Roberto, LICSW

  • Clinical Social Worker
  • Keene, NH
National Provider Identifier
1649313990
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3030 Issued in NH
Practice address
103 Roxbury St Ste 210
Keene, NH 03431-3800
Phone
(603) 258-1875
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0134557 VT
Clinical Social Worker 1041C0700X 3030 NH Primary

Addresses

Primary practice location

103 Roxbury St Ste 210
Keene, NH 03431-3800

Mailing address

103 Roxbury St Ste 210
Keene, NH 03431-3800
Phone (603) 258-1875

Other practice location 1

20 Main St Ste 2
Keene, NH 03431-3784
Phone (603) 258-1875

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240419001859 NH Practitioner - Clinical Social Worker 0941649164 Practice locations: Keene, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Main St
Suite 2
Keene, NH 03431-3784
Phone (603) 258-1875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0134557VTMDClinical Social Worker
3030NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nanette Roberto, Licsw Clinical CurrentSince Feb 1, 2024 Accepting new patients

Locations

20 Main St
Ste 2
Keene, NH 03431
Phone (603) 258-1875

103 Roxbury St
Ste 210
Keene, NH 03431
Phone (603) 258-1875

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1649313990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ROXBURY ST STE 210",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313800",
            "telephone_number": "603-258-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ROXBURY ST STE 210",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313800",
            "telephone_number": "603-258-1875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034313784",
            "country_code": "US",
            "telephone_number": "603-258-1875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTO",
        "first_name": "NANETTE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134557",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "3030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.