Active NPIIndividual providerSole proprietor

Katie Provencher, LICSW

Social Worker, Clinical in Milford, New Hampshire

NPI Number1326458456
Practice location
15 Union Street, Milford, NH 03055
Fax
—
Last updated
March 7, 2017

Katie Provencher is a Social Worker, Clinical based in Milford, NH. Katie Provencher practices in Milford, NH and has the professional credentials of LICSW. The NPI Number for Katie Provencher is 1326458456 and holds a License No. 1649 (NH). The current practice location address for Katie Provencher is 15 Union Street, Milford, NH 03055 and can be reached out via phone at 603-271-5402.

Provider Profile Details

NPI Number
1326458456
Provider Name
Katie Provencher
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
15 Union Street, Milford, NH 03055
Phone Number
603-271-5402
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 29, 2014
Last Update Date
March 7, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Union Street
Milford, NH 03055
Zip
03055
Phone Number
603-271-5402
Milford, NH 03055Get directions →

Provider Business Mailing Address Details

Address
15 Union Street
Milford, NH 03055
City
Milford
State
NH
Zip
03055
Phone Number
603-493-5132

License Information

License Number
1649
License State
NH
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 Katie Provencher, LICSW?

The NPI number of Katie Provencher, LICSW is 1326458456. It was assigned on April 29, 2014 and is currently active in the NPPES registry.

What is the specialty of Katie Provencher, LICSW?

Katie Provencher, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NH under license number 1649.

Where does Katie Provencher, LICSW practice?

The practice location is 15 Union Street, Milford, NH 03055. The office can be reached at 603-271-5402 (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 1326458456 directly on the NPPES registry website.

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