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

Mr. Ethan Andrew Avendano-Lawrence

Individual provider Clinical Social Worker · NPI 1144186818

Mr. Ethan Andrew Avendano-Lawrence is a Clinical Social Worker in Lebanon, New Hampshire. Qualified in 2020, 6 years ago. Practices with Dartmouth-Hitchcock Clinic, a 1,430-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
6
Licensed in
NH
In the registry since
2025

Practice location Address checks out

85 Mechanic St
Lebanon, NH 03766-1537
Phone: (602) 653-1860
Fax: (603) 448-5335
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Medical Center Dr, Lebanon, NH 03756-0001 — (603) 650-5000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5780 (NH)

Record details

NPI number1144186818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 26, 2025
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dartmouth-Hitchcock Clinic — 1430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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