Individual provider Active NPI

John Laurence Lebow Sr., L.I.C.S.W.

  • Clinical Social Worker
  • Newmarket, NH
National Provider Identifier
1861641748
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1419 Issued in NH
Practice address
207 S Main St
Newmarket, NH 03857-1843
Phone
(603) 659-3106
Fax
(603) 659-8003
NPI assigned
Sep 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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 1419 NH Primary

Addresses

Primary practice location

207 S Main St
Newmarket, NH 03857-1843

Mailing address

117 Langford Road
P.O. Box 258
Candia, NH 03034-0303
Phone (603) 483-5595

Other identifiers 1

IdentifierTypeStateIssuer
3088831MedicaidNH

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
I20090928000108 NH Practitioner - Clinical Social Worker 0345396057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Mental Health Center of Greater ManchesterGroup PAC ID 6709874274, 86 clinicians

Practice addresses (Care Compare)

2 Wall St
Manchester, NH 03101-1518
Phone (603) 668-4111

401 Cypress St
Manchester, NH 03103-3628
Phone (603) 668-4111

Merit-based Incentive Payment System (MIPS)

Final score
62.76 of 100Reported as group
Quality
60.1
Promoting interoperability
0
Improvement activities
40
Cost
82.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1419NHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Center of Greater Manchester CurrentSince Jul 14, 2009 Accepting new patients

Locations

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

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1861641748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LANGFORD ROAD",
            "address_2": "P.O. BOX 258",
            "city": "CANDIA",
            "state": "NH",
            "postal_code": "030340303",
            "telephone_number": "603-483-5595",
            "fax_number": "603-483-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571843",
            "telephone_number": "603-659-3106",
            "fax_number": "603-659-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOW",
        "first_name": "JOHN",
        "middle_name": "LAURENCE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088831",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newmarket, NH

Sources for this page

Verify at the official NPI Registry.