Active NPI
Kimberly Scannell, LICSW, MLADC
- Clinical Social Worker
- Bedford, NH
National Provider Identifier
1790065571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1545
- Practice address
- 80 Palomino LN Ste 101
Bedford, NH 03110-6447 - Phone
- (603) 324-8181
- Fax
- (734) 396-1041
- NPI assigned
- Aug 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1545 | NH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0597 | NH |
Addresses
Primary practice location
80 Palomino LN Ste 101
Bedford, NH 03110-6447
Mailing address
80 Palomino LN Ste 101
Bedford, NH 03110-6447
Phone (603) 324-8181
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0597 | NH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1790065571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 PALOMINO LN STE 101",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106447",
"telephone_number": "603-324-8181",
"fax_number": "734-396-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 PALOMINO LN STE 101",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106447",
"telephone_number": "603-324-8181",
"fax_number": "734-396-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCANNELL",
"first_name": "KIMBERLY",
"credential": "LICSW, MLADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "1545",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "0597",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.