Individual provider Active NPI

Carole Hartigan, MSW, LICSW

  • Clinical Social Worker
  • Strafford, NH
National Provider Identifier
1891846150
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
222 Issued in NH
Practice address
759 1St Crown Point Rd
Strafford, NH 03884-6118
Phone
(603) 335-7900
NPI assigned
Jan 15, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 222 NH Primary

Addresses

Primary practice location

759 1St Crown Point Rd
Strafford, NH 03884-6118

Mailing address

759 1St Crown Point Rd
Strafford, NH 03884-6118
Phone (603) 335-7900

Other identifiers 1

IdentifierTypeStateIssuer
80001638MedicaidNH

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
I20040412000350 NH Practitioner - Clinical Social Worker 0345234696 Practice locations: Strafford, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

759 1St Crown Point Rd
Strafford, NH 03884-6118
Phone (603) 335-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
222NHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891846150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 1ST CROWN POINT RD",
            "city": "STRAFFORD",
            "state": "NH",
            "postal_code": "038846118",
            "telephone_number": "603-335-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 1ST CROWN POINT RD",
            "city": "STRAFFORD",
            "state": "NH",
            "postal_code": "038846118",
            "telephone_number": "603-335-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTIGAN",
        "first_name": "CAROLE",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001638",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Strafford, NH

Sources for this page

Verify at the official NPI Registry.