Active NPI
Lucille Fracasso
- Speech-Language Pathologist
- Dover, NH
National Provider Identifier
1972059954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2302
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2302 | NH | MD | Mental Health Counselor |
| SP-9945-SL | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Learn With Lucy: Speech, Language & Literacy Therapy | Speech-Language Pathologist | Current | Accepting new patients |
| Garrison City Speech & Language Services, PLLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Newmarket, NH
- NPI 1669237830
-
- Speech-Language Pathologist
- Dover, NH
- NPI 1407184682
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.