Individual provider Active NPI

Kaleigh Santa Clara, LICSW

  • Clinical Social Worker
  • Hampstead, NH
National Provider Identifier
1760173728
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2966 Issued in NH
Practice address
218 East Rd
Hampstead, NH 03841-5303
Phone
(603) 329-5311
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 19, 2026 through Feb 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2966NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebalance Counseling Coaching and Wellness PLLC Clinical Past Accepting new patients

NPPES NPI Registry

Updated by the provider on May 18, 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 2966 NH Primary

Addresses

Primary practice location

218 East Rd
Hampstead, NH 03841-5303

Mailing address

87 Scobie Pond Rd # B
Derry, NH 03038-3733

Other practice location 1

87 Scobie Pond Rd # B
Derry, NH 03038-3733
Phone (603) 425-4584

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1760173728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SCOBIE POND RD # B",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030383733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 EAST RD",
            "city": "HAMPSTEAD",
            "state": "NH",
            "postal_code": "038415303",
            "telephone_number": "603-329-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Scobie Pond Rd # B",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030383733",
            "country_code": "US",
            "telephone_number": "603-425-4584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTA CLARA",
        "first_name": "KALEIGH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NH

Sources for this page

Verify at the official NPI Registry.