Active NPI
Kimberly J Therrien, LICSW
- Clinical Social Worker
- Claremont, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1692
- Practice address
- 122 Pleasant St
Claremont, NH 03743-2679 - Phone
- (603) 542-5449
- Fax
- (603) 542-5455
- NPI assigned
- Aug 24, 2009
- 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 | 1692 | NH | Primary |
Addresses
Primary practice location
122 Pleasant St
Claremont, NH 03743-2679
Mailing address
9 Hanover St
Suite 2
Lebanon, NH 03766-1312
Phone (603) 448-0126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1692 | Other | NH | LICSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1692 | NH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Rivers Health Care, Inc. | Current | Accepting new patients | |
| Little Rivers Health Care, Inc. | Current | Accepting new patients | |
| West Central Services, Inc. | Past | Accepting new patients | |
| Little Rivers Health Care, Inc. | Past | Accepting new patients | |
| Little Rivers Health Care, Inc. | Past | Accepting new patients | |
| Little Rivers Health Care, Inc. | Past | Accepting new patients | |
| West Central Services, Inc | Past | Accepting new patients |
Locations
36 Oxbow Dr
Bradford, VT 05033
Phone 8024395321411
6 Waits River Vly School Rd
East Corinth, VT 05040
Phone (802) 222-3000
4628 Main St S
Newbury, VT 05051
Phone (802) 866-3000
2420 Route 302
Wells River, VT 05081
Phone (802) 222-4637
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Bradford, VT
- NPI 1033163555
-
- Federally Qualified Health Center (FQHC)
- East Corinth, VT
- NPI 1962161745
-
- Case Manager/Care Coordinator
- Claremont, NH
- NPI 1013377571
-
dba West Central Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lebanon, NH
- NPI 1174635684
-
dba Little Rivers Health Care
- Federally Qualified Health Center (FQHC)
- Newbury, VT
- NPI 1376119966
-
- Federally Qualified Health Center (FQHC)
- Wells River, VT
- NPI 1861640161
-
- Federally Qualified Health Center (FQHC)
- East Corinth, VT
- NPI 1972751279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358380800000",
"number": "1942433073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HANOVER ST",
"address_2": "SUITE 2",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661312",
"telephone_number": "603-448-0126",
"fax_number": "603-448-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 PLEASANT ST",
"city": "CLAREMONT",
"state": "NH",
"postal_code": "037432679",
"telephone_number": "603-542-5449",
"fax_number": "603-542-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERRIEN",
"first_name": "KIMBERLY",
"middle_name": "J",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-24",
"last_updated": "2013-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "1692",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICSW",
"identifier": "1692",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Claremont, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.