| Charlotte Trenholm, MSW, LICSW, MLADC | |
|
3 Viza Ave, Derry, NH 03038-5368 | |
| (603) 453-0704 | |
| Not Available |
| Full Name | Charlotte Trenholm |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3 Viza Ave, Derry, 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 |
|---|---|---|---|
| 1215329131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1382 (New Hampshire) | Primary |
| Entity Name | Elliot Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285627935 PECOS PAC ID: 6103727920 Enrollment ID: O20040115000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Trenholm, MSW, LICSW, MLADC 3 Viza Ave, Derry, NH 03038-5368 Ph: (603) 453-0704 | Charlotte Trenholm, MSW, LICSW, MLADC 3 Viza Ave, Derry, NH 03038-5368 Ph: (603) 453-0704 |
Dr. Albert A Shigo, LICSW PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Londonderry Road, Derry, NH 03038 Phone: 603-370-0972 Fax: 603-382-0386 | |
Judith Goldsmith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Tsienneto Rd, Derry, NH 03038 Phone: 603-434-1577 Fax: 603-434-3101 | |
Michelle Marie Lima, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26 Linlew Dr Apt 5, Derry, NH 03038 Phone: 978-807-6768 | |
Mrs. Kimberly Anne Campbell, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Tsienneto Rd, Derry, NH 03038 Phone: 603-434-1577 Fax: 603-226-7508 | |
Martha Hanley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 20 Chester Rd, Derry, NH 03038 Phone: 718-298-2071 | |
Julie Lago, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10 Tsienneto Rd, Derry, NH 03038 Phone: 603-434-1577 Fax: 603-434-3101 |