Individual provider Active NPI

Jessica Luddy-Fernandez, LICSW

  • Clinical Social Worker
  • Concord, NH
National Provider Identifier
1669733325
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2844 Issued in NH
Practice address
33 Pleasant St
Concord, NH 03301-4004
Phone
(603) 451-2371
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 118524 MA
Clinical Social Worker 1041C0700X 2844 NH Primary

Addresses

Primary practice location

33 Pleasant St
Concord, NH 03301-4004

Mailing address

33 Pleasant St
Concord, NH 03301-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118524MAMDClinical Social Worker
2844NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aerie Healthcare LLC CurrentSince Aug 17, 2025 Accepting new patients
Eliot Community Human Services CurrentSince May 8, 2023 Accepting new patients
Eliot Community Human Services Current Accepting new patients

Locations

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

33 Pleasant St
Concord, NH 03301
Phone (603) 244-3187

Organizations & group practices 3

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1669733325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014004",
            "telephone_number": "603-451-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDDY-FERNANDEZ",
        "first_name": "JESSICA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118524",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.