Provider Demographics
NPI:1093472078
Name:JENNIFER M SHUART
Entity Type:Organization
Organization Name:JENNIFER M SHUART
Other - Org Name:STEPPING STONES TO WELL BEING, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHUART
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, APRN
Authorized Official - Phone:617-283-3305
Mailing Address - Street 1:131 MAIN ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:EPPING
Mailing Address - State:NH
Mailing Address - Zip Code:03042-2405
Mailing Address - Country:US
Mailing Address - Phone:617-283-3305
Mailing Address - Fax:603-218-6990
Practice Address - Street 1:131 MAIN ST UNIT B
Practice Address - Street 2:
Practice Address - City:EPPING
Practice Address - State:NH
Practice Address - Zip Code:03042-2405
Practice Address - Country:US
Practice Address - Phone:617-283-3305
Practice Address - Fax:603-218-6990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-24
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3114987Medicaid