Individual provider Active NPI

Samantha Brown, LICSW

  • Clinical Social Worker
  • Rochester, NH
National Provider Identifier
1992073852
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
25 Old Dover Rd
Rochester, NH 03867
Phone
(603) 516-9300
Fax
(603) 740-9179
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

25 Old Dover Rd
Rochester, NH 03867

Mailing address

113 Crosby Rd Ste 1
Dover, NH 03820-4370
Phone (603) 516-9300

Other practice location 1

1680 Albany Ave
Hartford, CT 06105-1001
Phone (860) 236-4511 ext. 3461

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1992073852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CROSBY RD STE 1",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204370",
            "telephone_number": "603-516-9300",
            "fax_number": "603-740-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OLD DOVER RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "03867",
            "telephone_number": "603-516-9300",
            "fax_number": "603-740-9179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 Albany Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061051001",
            "country_code": "US",
            "telephone_number": "860-236-4511 x3461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SAMANTHA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.