Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carolee Jessica Tustin, LICSW

Individual provider Clinical Social Worker · NPI 1912553058

Carolee Jessica Tustin, LICSW is a Clinical Social Worker in Manchester, New Hampshire. Practices as a sole proprietor. Licensed in New Hampshire.

Licensed in
NH
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

718 Smyth Rd
Manchester, NH 03104-7007
Phone: (603) 624-4366
Fax: (603) 629-3244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2330 (NH)

Record details

NPI number1912553058
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 14, 2019
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020

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