Individual provider Active NPI

Rosemary M Harbeson, LICSW

  • Clinical Social Worker
  • Hampton, NH
National Provider Identifier
1770577645
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1214--LICSW Issued in NH
Practice address
55 High St
Suite 201
Hampton, NH 03842-2213
Phone
(603) 929-2137
Fax
(603) 929-7482
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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 1214--LICSW NH Primary

Addresses

Primary practice location

55 High St
Suite 201
Hampton, NH 03842-2213

Mailing address

55 High St
Suite 201
Hampton, NH 03842-2213
Phone (603) 929-2137

Other identifiers 1

IdentifierTypeStateIssuer
30423184MedicaidNH

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

LicenseStateTypeSpecialty
1214--LICSWNHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Street Family Counseling Assoc Inc PastSince Jan 1, 1991 Accepting new patients
Appledore Medical Group, Inc Past Accepting new patients

Organizations & group practices 2

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1770577645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HIGH ST",
            "address_2": "SUITE 201",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038422213",
            "telephone_number": "603-929-2137",
            "fax_number": "603-929-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGH ST",
            "address_2": "SUITE 201",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038422213",
            "telephone_number": "603-929-2137",
            "fax_number": "603-929-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBESON",
        "first_name": "ROSEMARY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1214--LICSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30423184",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.