Active NPI
Jacqueline Lavallee, MSW
- Clinical Social Worker
- Dover, NH
National Provider Identifier
1922652114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2669
- Practice address
- 16 Fifth St
Dover, NH 03820-2930 - Phone
- (603) 883-0005
- Fax
- (603) 883-0007
- NPI assigned
- Jul 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2669 | NH | Primary |
Addresses
Primary practice location
16 Fifth St
Dover, NH 03820-2930
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (603) 883-0005
Other practice location 1
1145 Sagamore Ave
Portsmouth, NH 03801-5585
Phone (603) 431-6703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3078870 | Medicaid | NH |
Other names 1
- Jacqueline Thomas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2669 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Mental Health Center, Inc. | Current | Accepting new patients |
Locations
1145 Sagamore Ave
Portsmouth, NH 03801
Phone (603) 431-6703
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portsmouth, NH
- NPI 1013092857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1922652114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630",
"telephone_number": "603-883-0005",
"fax_number": "603-883-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 FIFTH ST",
"city": "DOVER",
"state": "NH",
"postal_code": "038202930",
"telephone_number": "603-883-0005",
"fax_number": "603-883-0007"
}
],
"practiceLocations": [
{
"address_1": "1145 Sagamore Ave",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "NH",
"postal_code": "038015585",
"country_code": "US",
"telephone_number": "603-431-6703",
"fax_number": "603-430-3753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAVALLEE",
"first_name": "JACQUELINE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "2669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3078870",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "THOMAS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.