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MR. JEFFREY ERIC FORTIN WAIVER
NPI 1700365079
Social Worker in Berlin, NH

Active since August 08, 2018
69 WILLARD ST, BERLIN, NH 03570(603) 752-1005 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeffrey Eric Fortin Waiver NPPES

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

MR. JEFFREY ERIC FORTIN WAIVER (NPI 1700365079) is an individual social worker in Berlin, New Hampshire and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1700365079
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. JEFFREY ERIC FORTINCredential: WAIVER
Location Address69 WILLARD STBerlin, NH 03570-2095
Mailing Address87 Washington StConway, NH 03818-6044 · (603) 447-3905
Phone(603) 752-1005
Sole ProprietorNo
Enumeration DateAugust 8, 2018
✔ NPI 1700365079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
69 WILLARD ST, Berlin, NH 03570
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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.

MR. CHARLES HENRY BERND WAIVER
Social Worker
69 WILLARD ST
BERLIN, NH 03570
Coos County (603) 752-2689
MR. DANIEL GEORGE BROFMAN WAIVER
Social Worker
69 WILLARD ST
BERLIN, NH 03570
Coos County (603) 752-2689
MS. KRISTIN J CYR ASSOCIATES
Social Worker
69 WILLARD ST
BERLIN, NH 03570
Coos County (603) 447-8247
PAM JEAN VILLENEUVE WAIVER
Social Worker
69 WILLARD ST
BERLIN, NH 03570
Coos County (603) 447-8572
MS. JENNIFER JOYCE BACON WAIVER
Social Worker
69 WILLARD ST
BERLIN, NH 03570
Coos County (603) 752-7404
SAMANTHA HALL
Social Worker
69 WILLARD ST
BERLIN, NH 03570
Coos County (603) 752-1005
DIMITRI C GIANNOS WAIVER
Social Worker
69 WILLARD ST
BERLIN, NH 03570
Coos County (603) 752-1005
MS. SARAH JEAN HOFFMAN WAIVER
Social Worker
69 WILLARD ST
BERLIN, NH 03570
Coos County (603) 752-1005

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 Jeffrey Fortin's NPI number?

The NPI number for Jeffrey Fortin is 1700365079. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Jeffrey Fortin located?

Jeffrey Fortin practices at 69 Willard St, Berlin, NH 03570. The listed phone number is (603) 752-1005.

What is Jeffrey Fortin's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Fortin was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.