Elizabeth Gannon-moffett, LICSW is a
Social Worker - Clinical based in Rollinsford, New Hampshire. Elizabeth Gannon-moffett is licensed to practice in New Hampshire (license number 1182) and her current practice location is
3 Front St, Suite 351, Rollinsford, New Hampshire. She can be reached at her office (for appointments etc.) via phone at
(603) 312-0731.
NPI number for Elizabeth Gannon-moffett is 1770516700 and her current mailing address is Po Box 395, Rollinsford, New Hampshire. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770516700.
Healthcare Provider's Profile
Full Name | Elizabeth Gannon-moffett |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3 Front St, Rollinsford, New Hampshire |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770516700
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Elizabeth Gannon-moffett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770516700 | NPI | - | NPPES |
30423878 | Medicaid | NH | |
14Y009951NH01 | Other | NH | ANTHEM BLUE CROSS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1182 (New Hampshire) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Gannon-moffett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elizabeth Gannon-moffett, LICSW Po Box 395, Rollinsford, NH 03869-0395 Ph: (603) 312-0731 | Elizabeth Gannon-moffett, LICSW 3 Front St, Suite 351, Rollinsford, NH 03869-7001 Ph: (603) 312-0731 |
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