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

Individual provider Clinical Social Worker · NPI 1346525490

MS. Beverly Ann Mundahl, LICSW is a Clinical Social Worker in Keene, New Hampshire. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
39
Licensed in
NH
In the registry since
2011
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

42 S St
Keene, NH 03431-4174
Phone: (603) 505-7194
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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 1433 (NH)

Record details

NPI number1346525490
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 19, 2011
Last updated in NPPESMay 10, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Keene