Carol L Mandigo Licsw LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

NH372 Issued in NH

Legal business name

CAROL L MANDIGO LICSW LLC

Practice address

83 Clinton St
Concord, NH 03301-2262

Phone

(603) 225-4400

Fax

(603) 226-0070

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Carol Mandigo, LICSWNPI 1164690228

Title

Owner

Phone

(603) 225-4400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol L Mandigo, LICSW

  • Clinical Social Worker
  • Concord, NH
  • NPI 1164690228
  Medicare reassignment NPD Authorized official
• Natalie Glisson, MS, LMFT

  • Marriage & Family Therapist
  • Concord, NH
  • NPI 1427426907
  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1760964639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CLINTON ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012262",
            "telephone_number": "603-225-4400",
            "fax_number": "603-226-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CLINTON ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012262",
            "telephone_number": "603-225-4400",
            "fax_number": "603-226-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL L MANDIGO LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "MANDIGO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-225-4400",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NH",
            "license": "NH372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Family Dentistry PLLC
• Sarah Carlstrom, PA-C
• Carol A Carmichael, COTA
• Mark Dixon Carney, M.D.
• Carol a. Hovey, Psychotherapist, PLLC
• Alexandra Caron
• Shayna J. Carp, MD
• Jocelyn Carpenter, BS
• Jennifer Carr, MSW
• Michael J. Carr, DO

• Social Worker in Concord, NH
• Providers in Concord, NH by specialty
• Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.