Active NPIIndividual providerSole proprietor

Sheena Gradzewicz, LICSW

Social Worker, Clinical in Manchester, New Hampshire

NPI Number1063009934
Practice location
43 Emerald St, Manchester, NH 03103-7361
Fax
—
Last updated
January 3, 2023

Sheena Gradzewicz is a Social Worker, Clinical based in Manchester, NH. Sheena Gradzewicz practices in Manchester, NH and has the professional credentials of LICSW. The NPI Number for Sheena Gradzewicz is 1063009934 and holds a License No. 123467 (MA). The current practice location address for Sheena Gradzewicz is 43 Emerald St, Manchester, NH 03103-7361 and can be reached out via phone at 781-854-8890.

Provider Profile Details

NPI Number
1063009934
Provider Name
Sheena Gradzewicz
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
43 Emerald St, Manchester, NH 03103-7361
Phone Number
781-854-8890
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 28, 2020
Last Update Date
January 3, 2023
Certification Date
January 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Emerald St
Manchester, NH 03103-7361
Zip
03103-7361
Phone Number
781-854-8890
Manchester, NH 03103Get directions →

Provider Business Mailing Address Details

Address
43 Emerald St
Manchester, NH 03103-7361
City
Manchester
State
NH
Zip
03103-7361
Phone Number
781-854-8890
Fax Number
978-912-9059

License Information

License Number
123467
License State
MA
Taxonomy
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 Sheena Gradzewicz, LICSW?

The NPI number of Sheena Gradzewicz, LICSW is 1063009934. It was assigned on December 28, 2020 and is currently active in the NPPES registry.

What is the specialty of Sheena Gradzewicz, LICSW?

Sheena Gradzewicz, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 123467.

Where does Sheena Gradzewicz, LICSW practice?

The practice location is 43 Emerald St, Manchester, NH 03103-7361. The office can be reached at 781-854-8890 (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 1063009934 directly on the NPPES registry website.

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