Healthcare Provider Details

I. General information

NPI: 1144470501
Provider Name (Legal Business Name): VICTORIA LYNN SEWELL LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2008
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 WASHINGTON ST STE 324
DOVER NH
03820-3894
US

IV. Provider business mailing address

2 WASHINGTON ST STE 324
DOVER NH
03820-3894
US

V. Phone/Fax

Practice location:
  • Phone: 603-416-3195
  • Fax:
Mailing address:
  • Phone: 800-434-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2229
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: