Individual provider · Type 1 NPI

Kimberly Scannell, LICSW, MLADC

Clinical Social Worker · Bedford, NH

NPI number 1790065571 Active

Practice location

80 Palomino Ln Ste 101
Bedford, NH 03110-6447

Fax (734) 396-1041

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1545 (NH)
Addiction (Substance Use Disorder) Counselor 101YA0400X0597 (NH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1790065571

Kimberly Scannell, LICSW, MLADC's National Provider Identifier is 1790065571, issued on Aug 24, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bedford, NH. The record was last updated on Aug 24, 2026.