Amanda Goddu, LICSW | |
240 S Main St, Wolfeboro, NH 03894-4455 | |
(603) 515-2066 | |
Not Available |
Full Name | Amanda Goddu |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 240 S Main St, Wolfeboro, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255985446 | NPI | - | NPPES |
3078870 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2703 (New Hampshire) | Primary |
Entity Name | Seacoast Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013092857 PECOS PAC ID: 0749240208 Enrollment ID: O20041019000285 |
Entity Name | Huggins Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366476079 PECOS PAC ID: 4880504927 Enrollment ID: O20060425000045 |
Mailing Address | Practice Location Address |
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Amanda Goddu, LICSW 1145 Sagamore Ave, Portsmouth, NH 03801-5585 Ph: (603) 431-6703 | Amanda Goddu, LICSW 240 S Main St, Wolfeboro, NH 03894-4455 Ph: (603) 515-2066 |
Sarah B. Titus-smith, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 56 Furber Lane, Po Box 1689, Wolfeboro, NH 03894 Phone: 603-969-0273 | |
Yvonne Varrieur Klotz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 Bay St, Wolfeboro, NH 03894 Phone: 603-569-1884 | |
Kristi Gowell Roark, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Endicot Street, Wolfeboro, NH 03894 Phone: 603-569-4776 | |
Kathleen D. Dotter, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 84 Baystreet, Wolfeboro, NH 03894 Phone: 603-513-1620 Fax: 603-875-5022 | |
Anne Marie Lackey Allwine, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 Orchards Rd, Wolfeboro, NH 03894 Phone: 603-569-4776 | |
Wendy Lee Allen, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 240 S Main St, Wolfeboro, NH 03894 Phone: 603-515-2059 |