Healthcare Provider Details

I. General information

NPI: 1720903552
Provider Name (Legal Business Name): JESSICA BOND LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 SHEEP DAVIS RD STE A1
CONCORD NH
03301-5750
US

IV. Provider business mailing address

261 SHEEP DAVIS RD STE A1
CONCORD NH
03301-5750
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-8111
  • Fax:
Mailing address:
  • Phone: 603-224-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2655
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: