Individual provider Active NPI

Carol J. Stiles, LCSW

  • Clinical Social Worker
  • Dover, NH
National Provider Identifier
1942212584
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
418 Issued in NH
Practice address
10 Members Way
Suite 301
Dover, NH 03820-5933
Phone
(603) 742-9200
Fax
(603) 742-4605
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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 418 NH Primary

Addresses

Primary practice location

10 Members Way
Suite 301
Dover, NH 03820-5933

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-4478

Other identifiers 2

IdentifierTypeStateIssuer
241700099MedicaidME
3102220MedicaidNH

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
I20151123000885 NH Practitioner - Clinical Social Worker 9133162316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Connecticut School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

798 Central Ave
Dover, NH 03820-2520
Phone (603) 609-6690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Jan 4, 2016 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 4, 2016 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Hospital CurrentSince Dec 15, 2019 Accepting new patients
Wentworth Douglass Physician Corporation Current Accepting new patients
Wentworth Douglass Hospital CurrentSince Dec 15, 2019 Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

10 Members Way
Ste 301
Dover, NH 03820
Phone (603) 609-6685

15 Old Rollinsford Rd
Ste 302
Dover, NH 03820
Phone 6036096690 ext. 7976

10 Members Way
Ste 302
Dover, NH 03820
Phone (603) 610-8095

798 Central Ave
Dover, NH 03820
Phone (603) 609-6690

15 Old Rollinsford Rd
Ste 301
Dover, NH 03820
Phone (603) 609-6690

73 Corporate Dr
Bldg B
Portsmouth, NH 03801
Phone (603) 610-8058

Interoperability endpoints

  • Direct secure messaging: stiles.carol.wdh@direct.partners.masshiway.net

Organizations & group practices 6

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1942212584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-740-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY",
            "address_2": "SUITE 301",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205933",
            "telephone_number": "603-742-9200",
            "fax_number": "603-742-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "CAROL",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241700099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102220",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.