Individual provider Active NPI

Jeannette Doherty

  • Clinical Social Worker
  • Exeter, NH
National Provider Identifier
1831738046
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2843 Issued in NH
Practice address
11 Court St Ste 210
Exeter, NH 03833-2745
Phone
(603) 242-2296
NPI assigned
Jan 6, 2020
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 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 2843 NH Primary

Addresses

Primary practice location

11 Court St Ste 210
Exeter, NH 03833-2745

Mailing address

11 Court St Ste 210
Exeter, NH 03833-2745
Phone (603) 242-2296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201016002343 MA Practitioner - Clinical Social Worker 2365862190 Reassigns benefits to 1 organization
I20230628003340 NH Practitioner - Clinical Social Worker 2365862190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2843NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Delaware, Inc CurrentSince Dec 2, 2024 Accepting new patients
Optum Behavioral Care of Delaware, Inc. Clinical CurrentSince Dec 2, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince Dec 12, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Dec 12, 2025 Accepting new patients

Locations

40 Shattuck Rd
Ste 250
Andover, MA 01810
Phone (978) 254-4116

25 S River Rd
Ste 307
Bedford, NH 03110
Phone 6032422296 ext. 200

11 Court St
Ste 210
Exeter, NH 03833
Phone (603) 242-2296

1 Tara Blvd
Ste 200
Nashua, NH 03062
Phone (603) 242-2296

Interoperability endpoints

  • Direct secure messaging: jeannette.doherty.1@28623.direct.athenahealth.com

Organizations & group practices 4

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1831738046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COURT ST STE 210",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332745",
            "telephone_number": "603-242-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COURT ST STE 210",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332745",
            "telephone_number": "603-242-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "JEANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.