Individual provider Active NPI

Mary Richardson Satterthwaite, L.I.C.S.W.

  • Clinical Social Worker
  • Portsmouth, NH
National Provider Identifier
1679712368
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
#375 Issued in NH
Practice address
426 State Street
Portsmouth, NH 03801-4049
Phone
(603) 431-7308
Fax
(603) 431-7308
NPI assigned
Feb 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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 #375 NH Primary

Addresses

Primary practice location

426 State Street
Portsmouth, NH 03801-4049

Mailing address

426 State Street
Portsmouth, NH 03801-4049
Phone (603) 431-7308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090312000037 NH Practitioner - Clinical Social Worker 6002972387 Practice locations: Portsmouth, NH
I20210305001286 ME Practitioner - Clinical Social Worker 6002972387 Practice locations: Kittery, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32 Newson Ave
Kittery, ME 03904-1304
Phone (603) 498-0387

426 State St
Portsmouth, NH 03801-4049
Phone (603) 498-0387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
#375NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Moon Wellness, PLLC PastSince Feb 24, 2022 Accepting new patients
Catherine Fatina, P.a. Clinical Past Accepting new patients

Organizations & group practices 2

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": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1679712368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 STATE STREET",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014049",
            "telephone_number": "603-431-7308",
            "fax_number": "603-431-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 STATE STREET",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014049",
            "telephone_number": "603-431-7308",
            "fax_number": "603-431-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERTHWAITE",
        "first_name": "MARY",
        "middle_name": "RICHARDSON",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "#375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.