Individual provider Active NPI

Kimberly J Therrien, LICSW

  • Clinical Social Worker
  • Claremont, NH
National Provider Identifier
1942433073
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1692 Issued in NH
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

Updated by the provider on Jan 17, 2013

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 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

IdentifierTypeStateIssuer
1692OtherNHLICSW

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210326001234 VT Practitioner - Clinical Social Worker 7315354909 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1692NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Rivers Health Care, Inc. CurrentSince Dec 23, 2020 Accepting new patients
Little Rivers Health Care, Inc. CurrentSince Dec 23, 2020 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.

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

Verify at the official NPI Registry.