Healthcare Provider Details

I. General information

NPI: 1194430272
Provider Name (Legal Business Name): COURTNEY MCCURRY LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 VOSE FARM RD
PETERBOROUGH NH
03458-2154
US

IV. Provider business mailing address

64 MAIN ST
KEENE NH
03431-3701
US

V. Phone/Fax

Practice location:
  • Phone: 603-924-7236
  • Fax: 603-924-4245
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5742
License Number StateNH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: