Active NPI
Brian Piccolo, MSW LICSW
- Social Worker
- Salem, NH
National Provider Identifier
1861581100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1322
- Practice address
- 44 Stiles Road
Salem, NH 03079 - Phone
- (603) 893-3548
- Fax
- (603) 898-4779
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1322 | NH | Primary |
Addresses
Primary practice location
44 Stiles Road
Salem, NH 03079
Mailing address
44 Stiles Road
Salem, NH 03079
Phone (603) 893-3548
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1322 | NH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861581100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 STILES ROAD",
"city": "SALEM",
"state": "NH",
"postal_code": "03079",
"telephone_number": "603-893-3548",
"fax_number": "603-898-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 STILES ROAD",
"city": "SALEM",
"state": "NH",
"postal_code": "03079",
"telephone_number": "603-893-3548",
"fax_number": "603-898-4779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCOLO",
"first_name": "BRIAN",
"credential": "MSW LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NH",
"license": "1322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.