Individual provider Active NPI

Christine Gauvain, LICSW

  • Clinical Social Worker
  • Nashua, NH
National Provider Identifier
1922373786
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3254 Issued in NH
Practice address
15 Prospect St
Nashua, NH 03060-3923
Phone
(603) 889-6147
NPI assigned
Mar 13, 2012
Last updated
May 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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 3254 NH Primary

Addresses

Primary practice location

15 Prospect St
Nashua, NH 03060-3923

Mailing address

100 W Pearl St
Nashua, NH 03060-3343
Phone (603) 889-6147

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
I20240515003263 NH Practitioner - Clinical Social Worker 7517240385 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
Group practices
Community Council of Nashua NH IncGroup PAC ID 4486616612, 27 clinicians

Practice addresses (Care Compare)

15 Prospect St
Nashua, NH 03060-3923
Phone (603) 889-6147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3254NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Behavioral Healthcare Services of NH, Inc. Current Accepting new patients
Community Council of Nashua NH, Inc. CurrentSince Apr 7, 2024 Accepting new patients

Locations

1 Main St
Nashua, NH 03064
Phone (603) 689-7978

100 W Pearl St
Nashua, NH 03060
Phone 60388961473189

15 Prospect St
Nashua, NH 03060

440 Amherst St
Nashua, NH 03063

5 Pine Street Ext
Nashua, NH 03060
Phone (603) 881-4848

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, 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": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1922373786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W PEARL ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603343",
            "telephone_number": "603-889-6147",
            "fax_number": "603-882-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603923",
            "telephone_number": "603-889-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUVAIN",
        "first_name": "CHRISTINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "3254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.