NICOLE DALE- HOGAN MLADC, LICSW
NPI 1336640879
Counselor - Addiction (Substance Use Disorder) in Rochester, NH

Q: What is Nicole Dale- Hogan's NPI number?

The NPI number for Nicole Dale- Hogan is 1336640879. It was assigned to this individual provider in the NPPES registry on February 21, 2018.

Q: What is Nicole Dale- Hogan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: Is Nicole Dale- Hogan enrolled in Medicare?

No. Nicole Dale- Hogan has opted out of Medicare through April 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since February 21, 2018Opted out of Medicare · through Apr 16, 2028

323 GONIC RD STE 2A, ROCHESTER, NH 03839(603) 332-8000(603) 601-4476 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 30, 2021, Feb 21, 2018 (2 updates tracked since 2018).

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About Nicole Dale- Hogan Mladc, Licsw NPPES

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

NICOLE DALE- HOGAN MLADC, LICSW (NPI 1336640879) is an individual addiction (substance use disorder) provider in Rochester, New Hampshire, licensed in New Hampshire (0566) and active in the NPI registry since February 2018. She has opted out of Medicare through April 16, 2028.

NPPES Registry Identity

NPI1336640879

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameNICOLE DALE- HOGANCredential: MLADC, LICSW

Location Address323 GONIC RD STE 2ARochester, NH 03839-5689

Mailing Address323 Gonic Rd Ste 2aRochester, NH 03839-5689 · (603) 332-8000 · Fax (603) 601-4476

Phone(603) 332-8000

Fax(603) 601-4476

Sole ProprietorYes

Enumeration DateFebruary 21, 2018

Last NPPES UpdateApril 30, 20212 updates tracked since enumeration

NPPES CertifiedApril 30, 2021

✔ NPI 1336640879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NH · 0566

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

323 GONIC RD STE 2A, Rochester, NH 03839

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Other Identifiers 1

Medicaid3121377NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Nicole Dale- Hogan Mladc, Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 16, 2024 through April 16, 2028.

Opt-Out Effective DateApril 16, 2024

Opt-Out In Effect ThroughApril 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

MS. JESSICA M PINKHAM LICSW

Social Worker (Clinical)