Individual provider Active NPI

Sarah Chickering

  • Clinical Social Worker
  • Laconia, NH
National Provider Identifier
1881175909
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3028 Issued in NH
Practice address
40 Beacon St E
Laconia, NH 03246-3437
Phone
(603) 524-1100
NPI assigned
Aug 27, 2018
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X 3028 NH Primary

Addresses

Primary practice location

40 Beacon St E
Laconia, NH 03246-3437

Mailing address

40 Beacon St E
Laconia, NH 03246-3437
Phone (603) 524-1100

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
I20230830002896 NH Practitioner - Clinical Social Worker 3870956303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Lakes Region Mental Health Center, IncGroup PAC ID 7911957964, 21 clinicians

Practice addresses (Care Compare)

40 Beacon St E
Laconia, NH 03246-3437
Phone (603) 524-1100

85 Spring St
Laconia, NH 03246-3113
Phone (603) 524-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3028NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Lakes Region Mental Health Center, Inc. CurrentSince Aug 14, 2023 Accepting new patients

Locations

40 Beacon St E
Laconia, NH 03246

85 Spring St
Laconia, NH 03246
Phone (603) 524-7402

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1881175909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEACON ST E",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463437",
            "telephone_number": "603-524-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEACON ST E",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463437",
            "telephone_number": "603-524-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICKERING",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "3028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.