Active NPI
Lisabeth Wotherspoon, LICSW
- Clinical Social Worker
- Rochester, NH
National Provider Identifier
1689728347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 937
- Practice address
- 1 N Main St
Suite 207
Rochester, NH 03867-1946 - Phone
- (603) 994-0114
- Fax
- (603) 994-0114
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 937 | NH | Primary |
Addresses
Primary practice location
1 N Main St
Suite 207
Rochester, NH 03867-1946
Mailing address
1 N Main St
Suite 207
Rochester, NH 03867-1946
Phone (603) 994-0114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077980 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 5, 2023 through Jul 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 937 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1689728347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N MAIN ST",
"address_2": "SUITE 207",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038671946",
"telephone_number": "603-994-0114",
"fax_number": "603-994-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N MAIN ST",
"address_2": "SUITE 207",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038671946",
"telephone_number": "603-994-0114",
"fax_number": "603-994-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOTHERSPOON",
"first_name": "LISABETH",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077980",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.