Chad O'Brien, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2106 Issued in NH

Practice address

66 Old Rochester Rd Ste 308
Dover, NH 03820-2000

Phone

(469) 734-7144

NPI assigned

Apr 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fidelity Community Support Group, Inc

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1205132412
  NPD (past)

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1720344682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 OLD ROCHESTER RD STE 308",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202000",
            "telephone_number": "469-734-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 OLD ROCHESTER RD STE 308",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202000",
            "telephone_number": "469-734-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CHAD",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nslij Health System
• Mark Francis Nutting
• Nuwell Nutrition LLC
• Pamela Nyatsambo, MSPT
• Carly Ann O'Brien-Hart, LICSW
• Elizabeth O'Brien, MD
• Haley Christine O'Connell, RDH
• Daniel O'Connor, MD
• Jennifer O'Doherty, PTA
• Katie O'Donnell, MSW, LICSW

• Clinical Social Worker in Dover, NH
• Providers in Dover, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.