Katie Hersom Licsw, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KATIE HERSOM LICSW, PLLC

Practice address

6 Mohawk Dr
Londonderry, NH 03053-3757

Phone

(603) 489-7213

NPI assigned

Jun 27, 2019

Last updated

Jun 27, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katherine HersomNPI 1790057156

Title

Owner

Phone

(603) 489-7213

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Jean Hersom, LICSW

  • Clinical Social Worker
  • Hampstead, NH
  • NPI 1790057156
  NPD Authorized official

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1831750058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 EMERSON AVE",
            "city": "HAMPSTEAD",
            "state": "NH",
            "postal_code": "038412215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MOHAWK DR",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533757",
            "telephone_number": "603-489-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE HERSOM LICSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "HERSOM",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-489-7213"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S Kaminski, OD
• Kar Aesthetics (Spa Medique)
• Karimipour DMD PC
• Mehdi Karimipour-Saryazdi, D.M.D
• Husam E Karzoun, D.M.D
• Sabrinna Kay
• Casey Otovic Keating
• Leslie Keldsen, MS CCC-SLP
• Kayla N Kelly, M.ED
• Matthew John Kennelly, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.