Jon Gerald Aldrich, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

394 Issued in NH

Practice address

20 W Park St
Suite 214
Lebanon, NH 03766-1378

Phone

(603) 448-4370

Fax

(603) 448-4370

NPI assigned

Feb 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730227372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W PARK ST",
            "address_2": "SUITE 214",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661378",
            "telephone_number": "603-448-4370",
            "fax_number": "603-448-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W PARK ST",
            "address_2": "SUITE 214",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661378",
            "telephone_number": "603-448-4370",
            "fax_number": "603-448-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRICH",
        "first_name": "JON",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1408363Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH CARE",
            "identifier": "341027",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN-0653",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30006909",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT BLUE SHIELD",
            "identifier": "29080",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "H08421",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pauline L Albanese, RPH
• Greta B Albee-Jaeger, LPC
• Benjamin Albers, M.DIV
• Daniel A Albert, MD
• Carlos Alcocer-Burdett
• Susan E Aldrich, PHARMD
• Matthew J Alef
• Christine Campo Alewine, M.D./ PH.D.
• Kira Maleigha Alexander-Rolland, PHD
• Matthew Alexander, PHD, PA-S

• Clinical Social Worker in Lebanon, NH
• Providers in Lebanon, 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 Jul 8, 2007; 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.