Blair Ambrose, MSW
Individual provider Active NPI Clinical Social Worker · Concord, NH
NPI 1659424182 · NPPES record last updated Dec 4, 2007
Key facts
- NPI
- 1659424182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1398 (NH)
- Practice address
- 278 Pleasant St
Concord, NH 03301-2551 - Phone
- (603) 226-0817
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1802 Elm St
Suite 8
Manchester, NH 03104-2948
Phone (603) 491-8208
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080215000627 | NH | Practitioner - Clinical Social Worker | 2567545387 | Practice locations: Manchester, NH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1398 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Counseling & Training LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1398 | NH | Yes |
Addresses
Primary practice location
278 Pleasant St
Concord, NH 03301-2551
Mailing address
PO Box 2032
Concord, NH 03302-2032
Phone (603) 226-7570
Other providers in Concord, NH
- Alternative Choices, LLC.
- Kimberlee Altomare
- Hilary Katherine Alvarez
- Ambra Dental Care, PLLC
- Michael Ambra
- Christelle Renee Ambrose
- American Current Care P.a.
- Sarah Ames
- Ajita Amin
- Yvonne Ogheneruona Amune
All providers in Concord, NH · Clinical Social Worker in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.