Individual provider Active NPI

Brenda Ucich

  • Clinical Social Worker
  • Salem, NH
National Provider Identifier
1770861692
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1610 Issued in NH
Practice address
130 Main St
Suite 203B
Salem, NH 03079-3176
Phone
(603) 858-2876
Fax
(603) 898-4563
NPI assigned
Jul 26, 2011
Last updated
Jul 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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 1610 NH Primary

Addresses

Primary practice location

130 Main St
Suite 203B
Salem, NH 03079-3176

Mailing address

130 Main St
Suite 203B
Salem, NH 03079-3176
Phone (603) 858-2876

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1610NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda Ucich Licsw Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1770861692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAIN ST",
            "address_2": "SUITE 203B",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793176",
            "telephone_number": "603-858-2876",
            "fax_number": "603-898-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAIN ST",
            "address_2": "SUITE 203B",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793176",
            "telephone_number": "603-858-2876",
            "fax_number": "603-898-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCICH",
        "first_name": "BRENDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.