Active NPI
Kenneth Aubry, LICSW
- Clinical Social Worker
- Manchester, NH
National Provider Identifier
1730285438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 91
- Practice address
- 9 Blodget St
Manchester, NH 03104-3502 - Phone
- (603) 668-4111
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 91 | NH | Primary |
Addresses
Primary practice location
9 Blodget St
Manchester, NH 03104-3502
Mailing address
401 Cypress St
Manchester, NH 03103-3628
Phone (603) 668-4111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020258994-03 | Other | NH | HARVARD PILGRIM |
| 1039149 | Other | NH | CIGNA |
| 1405792Y0NH01 | Other | NH | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91 | NH | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1730285438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CYPRESS ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031033628",
"telephone_number": "603-668-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 BLODGET ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031043502",
"telephone_number": "603-668-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUBRY",
"first_name": "KENNETH",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "91",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "020258994-03",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1039149",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1405792Y0NH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.