Individual provider Active NPI

Rachael Wizwer, LCSW

  • Clinical Social Worker
  • Dover, NH
National Provider Identifier
1770545246
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1079 Issued in NH
Practice address
10 Members Way FL 5
Dover, NH 03820
Phone
(603) 609-6800
Fax
(603) 609-6820
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1079 NH
Clinical Social Worker 1041C0700X LC8776 ME
Clinical Social Worker 1041C0700X 1079 NH Primary

Addresses

Primary practice location

10 Members Way FL 5
Dover, NH 03820

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (603) 953-0065

Other practice location 1

311 Route 108
Somersworth, NH 03878-1522
Phone (603) 953-0065

Other practice location 2

311 Route 108
Somersworth, NH 03878-1522
Phone (603) 953-0065

Other identifiers 2

IdentifierTypeStateIssuer
279050099MedicaidME
3073262MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071020000068 NH Practitioner - Clinical Social Worker 3173567914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wentworth Douglass Physician CorporationGroup PAC ID 5496749848, 429 clinicians

Practice addresses (Care Compare)

10 Members Way 5TH Floor
WHP Internal Medicine
Dover, NH 03820-5933
Phone (603) 609-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1079NHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Oct 8, 2019 Accepting new patients
Wentworth Douglass Physician Corporation Addiction (Substance Use Disorder) CurrentSince Oct 8, 2019 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients

Locations

8 Century Pines Dr
Ste 2
Barrington, NH 03825
Phone (603) 664-2135

10 Members Way
Fl 5
Dover, NH 03820
Phone (603) 609-6800

10 Members Way
Ste 302
Dover, NH 03820
Phone (603) 610-8095

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

65 Calef Hwy
Ste 200
Lee, NH 03861
Phone (603) 868-3300

Interoperability endpoints

  • Direct secure messaging: wizwer.rachael.wdh@direct.partners.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1770545246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-953-0065",
            "fax_number": "603-609-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY FL 5",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-609-6800",
            "fax_number": "603-609-6820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Route 108",
            "address_purpose": "LOCATION",
            "city": "Somersworth",
            "state": "NH",
            "postal_code": "038781522",
            "country_code": "US",
            "telephone_number": "603-953-0065",
            "fax_number": "603-953-0066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Route 108",
            "address_purpose": "LOCATION",
            "city": "Somersworth",
            "state": "NH",
            "postal_code": "038781522",
            "country_code": "US",
            "telephone_number": "603-953-0065",
            "fax_number": "603-953-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIZWER",
        "first_name": "RACHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1079",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC8776",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279050099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073262",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.