NPIMap

Organization Active NPI

Charlene Curtis LCSW LLC

Doing business as Charlene Curtis

  • Clinical Social Worker
  • Amherst, NH
National Provider Identifier
1689006330
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1077 Issued in NH
Legal business name
CHARLENE CURTIS LCSW LLC
Doing business as
Charlene Curtis
Practice address
109 Ponemah Rd
Amherst, NH 03031-2834
Phone
(603) 672-0344
Fax
(603) 672-0344
NPI assigned
Aug 5, 2013
Last updated
Aug 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Ms. Charlene M Curtis, LICSWNPI 1447203609
Title
Therapist
Phone
(603) 672-0344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1077 NH Primary

Addresses

Primary practice location

109 Ponemah Rd
Amherst, NH 03031-2834

Mailing address

109 Ponemah Road
Suite 8
Amherst, NH 03031
Phone (603) 672-0344

Other names 1

  • Charlene Curtis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130905000882 NH Part B Supplier - Clinic/Group Practice 9638312911 Receives reassigned benefits from 1 practitioner
Practice locations: Portsmouth, NH

National Provider Directory

National Provider Directory
Tax ID family
Charlene Curtis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

109 Ponemah Rd
Amherst, NH 03031
Phone (603) 672-0344

109 Ponemah Rd
Ste 8
Amherst, NH 03031
Phone (603) 491-2705

145 Mirona Rd
Ste 230
Portsmouth, NH 03801
Phone (603) 801-8404

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1689006330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PONEMAH ROAD",
            "address_2": "SUITE 8",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "03031",
            "telephone_number": "603-672-0344",
            "fax_number": "603-672-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PONEMAH RD",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312834",
            "telephone_number": "603-672-0344",
            "fax_number": "603-672-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLENE CURTIS LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "603-672-0344",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlene Curtis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amherst, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.