Individual provider Active NPI

Jennifer St.Pierre, LICSW

  • Clinical Social Worker
  • Dover, NH
National Provider Identifier
1902256670
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1939 Issued in NH
Practice address
835 Central Ave Ste 126
Dover, NH 03820-2506
Phone
(862) 305-9675
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 1939 NH Primary

Addresses

Primary practice location

835 Central Ave Ste 126
Dover, NH 03820-2506

Mailing address

133 Washington St
#1678
Dover, NH 03820-8026
Phone (862) 305-9675

Other practice location 1

133 Washington St
#1678
Dover, NH 03820-8026
Phone (862) 305-9675

Other names 1

  • Ms. Jennifer McCarthy Former name

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
I20160818000519 NH Practitioner - Clinical Social Worker 3476848292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of New England, College of Osteo Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

835 Central Ave
Suite 126
Dover, NH 03820-2506
Phone (862) 305-9675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1939NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Pierre Counseling PLLC CurrentSince May 1, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

835 Central Ave
Ste 126
Dover, NH 03820
Phone (603) 652-1091

Interoperability endpoints

  • Direct secure messaging: jenniferstpierre@tdh.allscriptsdirect.net
  • Direct secure messaging: jennifer.stpierre@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1902256670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WASHINGTON ST",
            "address_2": "#1678",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038208026",
            "telephone_number": "862-305-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 CENTRAL AVE STE 126",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202506",
            "telephone_number": "862-305-9675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Washington St",
            "address_2": "#1678",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038208026",
            "country_code": "US",
            "telephone_number": "862-305-9675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST.PIERRE",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCCARTHY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.