Provider Demographics
NPI:1295950897
Name:HARRINGTON, NANCY MARIE FORSYTHE (MED, LICSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:MARIE FORSYTHE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:MED, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 DARTMOUTH COLLEGE HWY UNIT 903
Mailing Address - Street 2:
Mailing Address - City:LYME
Mailing Address - State:NH
Mailing Address - Zip Code:03768-3204
Mailing Address - Country:US
Mailing Address - Phone:603-717-2262
Mailing Address - Fax:
Practice Address - Street 1:85 DARTMOUTH COLLEGE HWY UNIT 903
Practice Address - Street 2:
Practice Address - City:LYME
Practice Address - State:NH
Practice Address - Zip Code:03768-3204
Practice Address - Country:US
Practice Address - Phone:603-717-2262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-00006591041C0700X
NH7991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1407688Y0NH02OtherANTHEM
NH1407688Y0NH02OtherANTHEM