Individual provider Active NPI

Stephanie O'Shaughnessy, LICSW

  • Clinical Social Worker
  • Portsmouth, NH
National Provider Identifier
1699460212
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2943 Issued in NH
Practice address
1600 Woodbury Ave
Portsmouth, NH 03801-3250
Phone
(603) 602-9070
Fax
(603) 810-6881
NPI assigned
Apr 10, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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 2943 NH Primary

Addresses

Primary practice location

1600 Woodbury Ave
Portsmouth, NH 03801-3250

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 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
I20240104002638 ME Practitioner - Clinical Social Worker 1153772058
I20240123004259 NH Practitioner - Clinical Social Worker 1153772058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Convenientmd LLCGroup PAC ID 2062667033, 26 clinicians

Practice addresses (Care Compare)

1600 Woodbury Ave
Portsmouth, NH 03801-3250
Phone (603) 602-9070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2943NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd LLC CurrentSince Jan 28, 2025 Accepting new patients
Convenientmd LLC Current Accepting new patients
Convenientmd LLC Past Accepting new patients

Locations

950 Main St
Westbrook, ME 04092
Phone (207) 517-3800

3 Nashua Rd
Bedford, NH 03110
Phone (603) 472-6700

1600 Woodbury Ave
Portsmouth, NH 03801
Phone (603) 431-1030

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

125 Indian Rock Rd
Windham, NH 03087
Phone (603) 890-6330

Interoperability endpoints

  • Direct secure messaging: stephanie.oshaughnessy.p1@direct.convenientmd.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1699460212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WOODBURY AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013250",
            "telephone_number": "603-602-9070",
            "fax_number": "603-810-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHAUGHNESSY",
        "first_name": "STEPHANIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.