Active NPIIndividual provider

Andrea L Jergensen, LICSW

Social Worker, Clinical in Concord, New Hampshire

NPI Number1326752429
Practice location
70 Commercial St Ste 200, Concord, NH 03301-5094
Fax
603-883-0007
Last updated
February 4, 2026

Andrea Lynn Jergensen is a Social Worker, Clinical based in Concord, NH. Andrea Lynn Jergensen practices in Concord, NH and has the professional credentials of LICSW. The NPI Number for Andrea Lynn Jergensen is 1326752429 and holds a License No. 2886 (NH). The current practice location address for Andrea Lynn Jergensen is 70 Commercial St Ste 200, Concord, NH 03301-5094 and can be reached out via phone at 603-883-0005 and via fax at 603-883-0007.

Provider Profile Details

NPI Number
1326752429
Provider Name
Andrea Lynn Jergensen
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
70 Commercial St Ste 200, Concord, NH 03301-5094
Phone Number
603-883-0005
Fax Number
603-883-0007
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Andrea Phillis (Former Name)
Provider Enumeration Date
January 12, 2023
Last Update Date
February 4, 2026
Certification Date
February 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Commercial St Ste 200
Concord, NH 03301-5094
Zip
03301-5094
Phone Number
603-883-0005
Fax Number
603-883-0007
Concord, NH 03301Get directions →

Provider Business Mailing Address Details

Address
2 Wall St Ste 200
Manchester, NH 03101-1518
City
Manchester
State
NH
Zip
03101-1518
Phone Number
603-668-4111

License Information

License Number
2886
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 Andrea L Jergensen, LICSW?

The NPI number of Andrea L Jergensen, LICSW is 1326752429. It was assigned on January 12, 2023 and is currently active in the NPPES registry.

What is the specialty of Andrea L Jergensen, LICSW?

Andrea L Jergensen, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NH under license number 2886.

Where does Andrea L Jergensen, LICSW practice?

The practice location is 70 Commercial St Ste 200, Concord, NH 03301-5094. The office can be reached at 603-883-0005 (phone) or 603-883-0007 (fax).

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 1326752429 directly on the NPPES registry website.

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