Individual provider Active NPI

Kristen Welch, MSW

  • Clinical Social Worker
  • Salem, NH
National Provider Identifier
1891824298
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CMR258 Issued in NH
Practice address
130 Main St Ste 201F
Salem, NH 03079-3171
Phone
(603) 952-4630
Fax
(603) 952-4631
NPI assigned
Mar 4, 2007
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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 CMR258 NH Primary

Addresses

Primary practice location

130 Main St Ste 201F
Salem, NH 03079-3171

Mailing address

130 Main St Ste 201F
Salem, NH 03079-3171
Phone (603) 952-4630

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
I20091208000702 NH Practitioner - Clinical Social Worker 3678612470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Counseling and TherapeuticGroup PAC ID 0446390397, 2 clinicians

Practice addresses (Care Compare)

130 Main St
Suite 201F
Salem, NH 03079-3171
Phone (603) 952-4630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CMR258NHMDClinical Social Worker
1461NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Counseling & Therapeutic Clinical CurrentSince Sep 27, 2009 Accepting new patients

Locations

130 Main St
Ste 201F
Salem, NH 03079
Phone (603) 952-4630

53 Stiles Rd
Ste B202
Salem, NH 03079
Phone (603) 731-3173

59 Stiles Rd
Ste 203
Salem, NH 03079
Phone (603) 458-6681

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": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1891824298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAIN ST STE 201F",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793171",
            "telephone_number": "603-952-4630",
            "fax_number": "603-952-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAIN ST STE 201F",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793171",
            "telephone_number": "603-952-4630",
            "fax_number": "603-952-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "KRISTEN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "CMR258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.