DESERAE FAWCETT BS
NPI 1053712224
Specialist in Manchester, NH

Active since September 08, 2014
2 WALL ST STE 400, MANCHESTER, NH 03101(603) 668-4111(603) 628-7757 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 2, 2021, Mar 24, 2021 (2 updates tracked since 2021).

About Deserae Fawcett Bs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESERAE FAWCETT BS (NPI 1053712224) is an individual specialist in Manchester, New Hampshire and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1053712224
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDESERAE FAWCETTCredential: BS
Location Address2 WALL ST STE 400Manchester, NH 03101-1518
Mailing Address2 Wall St Ste 300Manchester, NH 03101-1518 · (603) 668-4111 · Fax (603) 628-7757
Fax(603) 628-7757
Sole ProprietorNo
Enumeration DateSeptember 8, 2014
Last NPPES UpdateJuly 2, 20212 updates tracked since enumeration
NPPES CertifiedJuly 2, 2021
NPI 1053712224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 WALL ST STE 400, Manchester, NH 03101

Other Names 1

Former Name (1)Deserae Kelley

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
2 WALL ST STE 400
MANCHESTER, NH 03101
Counselor (Mental Health)
2 WALL ST STE 400
MANCHESTER, NH 03101
Social Worker (Clinical)
2 WALL ST STE 400
MANCHESTER, NH 03101
Social Worker (Clinical)
2 WALL ST STE 400
MANCHESTER, NH 03101
Specialist
2 WALL ST STE 400
MANCHESTER, NH 03101
Counselor (Mental Health)
2 WALL ST STE 400
MANCHESTER, NH 03101
Specialist
2 WALL ST STE 400
MANCHESTER, NH 03101
Specialist
2 WALL ST STE 400
MANCHESTER, NH 03101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deserae Fawcett's NPI number?

The NPI number for Deserae Fawcett is 1053712224. It was assigned to this individual provider in the NPPES registry on September 8, 2014. The provider is also known as Deserae Kelley.

Where is Deserae Fawcett located?

Deserae Fawcett practices at 2 Wall St Ste 400, Manchester, NH 03101. The listed phone number is (603) 668-4111.

What is Deserae Fawcett's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Deserae Fawcett was last updated on July 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.