Individual provider Active NPI

Jody Grablewski

  • Clinical Social Worker
  • Lebanon, NH
National Provider Identifier
1982728762
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1358 Issued in NH
Practice address
9 Hanover St
Suite 2
Lebanon, NH 03766-1312
Phone
(603) 448-0126
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1358 NH Primary

Addresses

Primary practice location

9 Hanover St
Suite 2
Lebanon, NH 03766-1312

Mailing address

140 North St
Claremont, NH 03743-2038

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
I20160817002406 NH Practitioner - Clinical Social Worker 7113212093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11 John Stark Hwy
Newport, NH 03773-1807
Phone (603) 526-5215

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1358NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Services, Inc. CurrentSince Jul 8, 2016 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Nov 1, 2021 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Nov 1, 2021 Accepting new patients
The New London Hospital Association, Inc. Current Accepting new patients
West Central Services, Inc Past Accepting new patients

Locations

52 W Pleasant St
Claremont, NH 03743
Phone (603) 448-0126

85 Mechanic St
Lebanon, NH 03766
Phone (603) 448-0126

85 Mechanic St
Unit A10
Lebanon, NH 03766
Phone (603) 448-0126

9 Hanover St
#2
Lebanon, NH 03766
Phone (603) 448-0126

273 County Rd
New London, NH 03257
Phone (603) 526-5215

11 John Stark Hwy
Newport, NH 03773
Phone (603) 526-5203

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982728762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NORTH ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HANOVER ST",
            "address_2": "SUITE 2",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661312",
            "telephone_number": "603-448-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABLEWSKI",
        "first_name": "JODY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.