Healthcare Provider Details

I. General information

NPI: 1700754264
Provider Name (Legal Business Name): COURTNEY E PICONE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 CHESTNUT ST
DOVER NH
03820-3672
US

IV. Provider business mailing address

50 CHESTNUT ST
DOVER NH
03820-3672
US

V. Phone/Fax

Practice location:
  • Phone: 603-516-9300
  • Fax:
Mailing address:
  • Phone: 603-516-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5816
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: