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General NPI Number Information
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NPI Number | 1124466057
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Entity Type | Individual
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Provider Name | KRISTA GREW MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1 MERRILL INDUSTRIAL DR UNIT 7
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City | HAMPTON
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State | NH
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Zip | 03842-1983
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Country | US
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Telephone | 603-758-1725
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MERRILL INDUSTRIAL DR UNIT 7
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City | HAMPTON
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State | NH
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Zip | 03842-1983
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Country | US
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Telephone | 603-758-1725
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 114909
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1142
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License Number State | NH
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