Healthcare Provider Details

I. General information

NPI: 1679960876
Provider Name (Legal Business Name): ELAINE JOYCE CASQUARELLI PH.D., LPCC, CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2015
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

466 CENTRAL AVE STE 10
DOVER NH
03820-6418
US

IV. Provider business mailing address

466 CENTRAL AVE STE 10
DOVER NH
03820-6418
US

V. Phone/Fax

Practice location:
  • Phone: 505-490-5600
  • Fax:
Mailing address:
  • Phone: 505-490-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5216
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCCMH0209151
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC8054
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: