Active NPIIndividual providerSole proprietor

Noah Jacobson-Goodhue, LICSW

Social Worker, Clinical in Lebanon, New Hampshire

NPI Number1053660803
Practice location
20 W Park St Ste 426, Lebanon, NH 03766-1378
Fax
—
Last updated
April 25, 2019

Noah Jacobson-Goodhue is a Social Worker, Clinical based in Lebanon, NH. Noah Jacobson-Goodhue practices in Lebanon, NH and has the professional credentials of LICSW. The NPI Number for Noah Jacobson-Goodhue is 1053660803 and holds a License No. 2211 (NH). The current practice location address for Noah Jacobson-Goodhue is 20 W Park St Ste 426, Lebanon, NH 03766-1378 and can be reached out via phone at 802-299-0451.

Provider Profile Details

NPI Number
1053660803
Provider Name
Noah Jacobson-Goodhue
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
20 W Park St Ste 426, Lebanon, NH 03766-1378
Phone Number
802-299-0451
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 6, 2012
Last Update Date
April 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 W Park St Ste 426
Lebanon, NH 03766-1378
Zip
03766-1378
Phone Number
802-299-0451
Lebanon, NH 03766Get directions →

Provider Business Mailing Address Details

Address
Po Box 249
Hartland, VT 05048-0249
City
Hartland
State
VT
Zip
05048-0249
Phone Number
802-299-0451

License Information

License Number (1)
2211
License State (1)
NH
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
089-0001204
License State (2)
VT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Noah Jacobson-Goodhue, LICSW?

The NPI number of Noah Jacobson-Goodhue, LICSW is 1053660803. It was assigned on September 6, 2012 and is currently active in the NPPES registry.

What is the specialty of Noah Jacobson-Goodhue, LICSW?

Noah Jacobson-Goodhue, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NH under license number 2211.

Where does Noah Jacobson-Goodhue, LICSW practice?

The practice location is 20 W Park St Ste 426, Lebanon, NH 03766-1378. The office can be reached at 802-299-0451 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053660803 directly on the NPPES registry website.

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