Individual provider Active NPI

Lucille Fracasso

  • Speech-Language Pathologist
  • Dover, NH
National Provider Identifier
1972059954
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2302 Issued in NH
Practice address
51 Webb PL Ste 310
Dover, NH 03820-2463
Phone
(603) 842-4924
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-9945-SL MA
Speech-Language Pathologist 235Z00000X 2302 NH Primary

Addresses

Primary practice location

51 Webb PL Ste 310
Dover, NH 03820-2463

Mailing address

508 Piscassic St
Newmarket, NH 03857-1185
Phone (860) 478-4413

Other practice location 1

102 W Main St
Merrimac, MA 01860-2255
Phone (978) 384-8290

Other practice location 2

Easter Seals
484 Main Street
Worcester, MA 01608
Phone (800) 244-2756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2302NHMDMental Health Counselor
SP-9945-SLMAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Learn With Lucy: Speech, Language & Literacy Therapy Speech-Language Pathologist CurrentSince Feb 18, 2024 Accepting new patients
Garrison City Speech & Language Services, PLLC Speech-Language Pathologist CurrentSince Mar 3, 2024 Accepting new patients

Locations

51 Webb Pl
Ste 310
Dover, NH 03820
Phone (603) 842-4924

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1972059954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 PISCASSIC ST",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571185",
            "telephone_number": "860-478-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WEBB PL STE 310",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202463",
            "telephone_number": "603-842-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 W Main St",
            "address_purpose": "LOCATION",
            "city": "Merrimac",
            "state": "MA",
            "postal_code": "018602255",
            "country_code": "US",
            "telephone_number": "978-384-8290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Easter Seals",
            "address_2": "484 Main Street",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "01608",
            "country_code": "US",
            "telephone_number": "800-244-2756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRACASSO",
        "first_name": "LUCILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2024-02-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SP-9945-SL",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "2302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.