KRISTI GOWELL ROARK (NPI# 1174644215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174644215 |
| Entity Type | Individual |
| Full Name | KRISTI GOWELL ROARK |
| Credential | LICSW |
| Practice Address |
10 Endicot Street Wolfeboro NH 03894 |
| Mailing Address |
Po Box 255 Wolfeboro NH 03894-0255 |
| Practice Telephone | 6035694776 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1355 | NH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 7706638Y0NH01 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 70 Bay St, Wolfeboro, NH 038944320 | 6035691884 |
| Street Address |
10 ENDICOT STREET |
| City | WOLFEBORO |
| State | NH |
| Zip Code | 03894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803047 | Ccm Chiropractic Pllc | Chiropractor | 29 Mill Street Unit C4, Wolfeboro, NH 03894 | 2015-02-11 |
| 1821303777 | Charles Ellingwood Simpson | Dentist | 12 Varney Rd, Wolfeboro, NH 03894 | 2010-08-16 |
| 1932428489 | Nancy Marineau | Pharmacist | 50 South Main St, Wolfeboro, NH 03894 | 2010-05-24 |
| 1205154556 | Sarah Connelly | Pharmacist | 50 South Main St., Wolfeboro, NH 03894 | 2010-05-12 |
| 1841408457 | Richard J. Neal Jr., D.m.d. P.C. | Dentist | 190 South Main Street, Wolfeboro, NH 03894 | 2007-05-18 |
| 1114134426 | Silva Family Dentistry | Dentist | 16 Lehner Street, Wolfeboro, NH 03894 | 2007-05-17 |
| 1659593846 | Beth Marcoux | Physical Therapist | 104 Old Keewaydin Point Rd, Suite Box 1714, Wolfeboro, NH 03894 | 2007-05-03 |
| 1285752758 | Kathleen D. Dotter | Social Worker | 84 Baystreet, Wolfeboro, NH 03894 | 2007-03-26 |
| 1922138452 | David Marsh Mccarthy | Chiropractor | 29 Mill Street, Suite C4 C5, Wolfeboro, NH 03894 | 2007-03-06 |
| 1770621781 | Patricia Lynn Walker | Dietitian, Registered | Huggins Hosptial, 240 South Main Street, Wolfeboro, NH 03894 | 2007-02-02 |
| Find all providers in zip 03894 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396238234 | Anne Marie Lackey Allwine | Social Worker | 23 Orchards Rd, Wolfeboro, NH 03894-4428 | 2018-06-13 |
| 1285752758 | Kathleen D. Dotter | Social Worker | 84 Baystreet, Wolfeboro, NH 03894 | 2007-03-26 |
| 1598831992 | Evangelyn J Sandeen | Social Worker | 6 Wyanoke Gate Ln, Wolfeboro, NH 03894-4029 | 2006-11-28 |
| 1821004417 | Susan E. Crimp-marcet | Social Worker | 35 Center St, Wolfeboro, NH 03894 | 2006-08-01 |
| 1508238783 | Safe Surroundings Ne, LLC | Social Worker | 35 Center St, Suite 19, Wolfeboro, NH 03894-4324 | 2015-10-27 |
| 1447521869 | Wendy Lee Allen | Social Worker | 240 S Main St, Wolfeboro, NH 03894-4411 | 2012-01-17 |
| 1164543104 | Yvonne Varrieur Klotz | Social Worker | 70 Bay St, Wolfeboro, NH 03894-4320 | 2007-04-03 |
| 1992826986 | Margaret Rieser | Social Worker | 70 Bay St, Wolfeboro, NH 03894-4320 | 2007-04-03 |
| 1841311826 | Jennifer Ogren | Social Worker | 70 Bay St, Wolfeboro, NH 03894-4320 | 2007-04-03 |
| 1740301795 | Jodi Von Jess | Social Worker | 70 Bay St, Wolfeboro, NH 03894-4320 | 2007-04-03 |
| Find all providers in WOLFEBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.