Individual provider Active NPI

Judith Michele Jepson-Hebert, LICSW

  • Clinical Social Worker
  • Hooksett, NH
National Provider Identifier
1710023841
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1225 Issued in NH
Practice address
1193 Hooksett Rd
Hooksett, NH 03106-1004
Phone
(603) 644-2683
NPI assigned
Jan 29, 2007
Last updated
Mar 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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 1225 NH Primary

Addresses

Primary practice location

1193 Hooksett Rd
Hooksett, NH 03106-1004

Mailing address

130 Brook St
Manchester, NH 03104-3620
Phone (603) 644-2683

Other identifiers 1

IdentifierTypeStateIssuer
30423641MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160316000985 NH Practitioner - Clinical Social Worker 6608172796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1330 Hooksett Rd
Hooksett, NH 03106-1886
Phone (603) 644-2683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Counseling, PLLC Clinical CurrentSince Jan 2, 2016 Accepting new patients
Journey Counseling Services, PLLC Clinical Past Accepting new patients

Locations

1193 Hooksett Rd
Hooksett, NH 03106
Phone (603) 644-2683

1330 Hooksett Rd
Hooksett, NH 03106
Phone (603) 644-2683

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, 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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1710023841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BROOK ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043620",
            "telephone_number": "603-644-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 HOOKSETT RD",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061004",
            "telephone_number": "603-644-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPSON-HEBERT",
        "first_name": "JUDITH",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30423641",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hooksett, NH

Sources for this page

Verify at the official NPI Registry.