Nicole Anne Pearl, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2547 Issued in NH

Practice address

618 N Stark Hwy
Weare, NH 03281-4215

Phone

(603) 529-5319

NPI assigned

Apr 6, 2023

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2023.

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1659066751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N STARK HWY",
            "city": "WEARE",
            "state": "NH",
            "postal_code": "032814215",
            "telephone_number": "603-529-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N STARK HWY",
            "city": "WEARE",
            "state": "NH",
            "postal_code": "032814215",
            "telephone_number": "603-529-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Karam, ATC
• Lisa Ann Kazakis, APRN, FNP-BC, PHMNP-
• Lisa Kazakis Aprn, LLC
• Esin Narli, D.M.D.
• Rita Overholser
• Cathleen Proulx
• Resilient Perspectives Counseling
• Mildred F Rich, BS, LADC
• Mikayla Sevigny, RDN, LD
• Natacha Villamia Sochat, M.D.

• All providers in Weare, NH
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.