Provider Demographics
NPI:1649465956
Name:PFEIFER, NICHOLAS (MSW)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:PFEIFER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 COUNTY FARM RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-6003
Mailing Address - Country:US
Mailing Address - Phone:603-516-8160
Mailing Address - Fax:603-749-3983
Practice Address - Street 1:272 COUNTY FARM RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-6003
Practice Address - Country:US
Practice Address - Phone:603-516-8160
Practice Address - Fax:603-749-3983
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH531101YA0400X
NH15471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)