Individual provider Active NPI

Kelly Murray, MSW, LICSW

  • Clinical Social Worker
  • Henniker, NH
National Provider Identifier
1811323470
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2725 Issued in NH
Practice address
258 Western Ave
Henniker, NH 03242-3482
Phone
(603) 428-8865
Fax
(603) 428-6545
NPI assigned
Sep 16, 2013
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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 2725 NH Primary

Addresses

Primary practice location

258 Western Ave
Henniker, NH 03242-3482

Mailing address

45 Country Club Rd
Hopkinton, NH 03229-2409
Phone (603) 731-3815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: No
  • 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
I20240815000697 NH Practitioner - Clinical Social Worker 2769920263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Center of Greater Manchester CurrentSince Aug 6, 2024 Accepting new patients
Community Council of Nashua NH, Inc. PastSince Mar 27, 2011 Accepting new patients

Locations

2 Wall St
Manchester, NH 03101
Phone 6036684111 ext. 6900

2 Wall St
Ste 200
Manchester, NH 03101

401 Cypress St
Manchester, NH 03103
Phone (603) 206-8586

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, 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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1811323470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 COUNTRY CLUB RD",
            "city": "HOPKINTON",
            "state": "NH",
            "postal_code": "032292409",
            "telephone_number": "603-731-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 WESTERN AVE",
            "city": "HENNIKER",
            "state": "NH",
            "postal_code": "032423482",
            "telephone_number": "603-428-8865",
            "fax_number": "603-428-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KELLY",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henniker, NH

Sources for this page

Verify at the official NPI Registry.