Individual provider Active NPI

Deborah H. Hamilton, D.ED., LICSW

  • Clinical Social Worker
  • Somersworth, NH
National Provider Identifier
1811915101
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1197 Issued in NH
Practice address
3 Woodchuck LN
Somersworth, NH 03878-2822
Phone
(603) 692-4060
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1197 NH Primary

Addresses

Primary practice location

3 Woodchuck LN
Somersworth, NH 03878-2822

Mailing address

3 Woodchuck LN
Somersworth, NH 03878-2822
Phone (603) 692-4060

Other identifiers 1

IdentifierTypeStateIssuer
30423931MedicaidNH

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
I20050414000915 NH Practitioner - Clinical Social Worker 7911944590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exeter Psychological Associates, Inc.Group PAC ID 6901709781, 2 clinicians

Practice addresses (Care Compare)

370 Portsmouth Ave
Greenland, NH 03840-2252
Phone (603) 692-4060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Education

State licenses

LicenseStateTypeSpecialty
1197NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exeter Psychological Associates, Inc. Clinical CurrentSince Jul 24, 2008 Accepting new patients

Locations

14 Hampton Rd
Exeter, NH 03833
Phone (603) 772-2187

20B Hampton Rd
Exeter, NH 03833
Phone (603) 772-2187

370 Portsmouth Ave
Ste 7
Greenland, NH 03840
Phone (603) 580-1169

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811915101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODCHUCK LN",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038782822",
            "telephone_number": "603-692-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODCHUCK LN",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038782822",
            "telephone_number": "603-692-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DEBORAH",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.ED., LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30423931",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.