Juliette W Daniels, LICSW | |
464 Chestnut Street, Child And Family Services, Manchester, NH 03101 | |
(603) 518-4121 | |
(603) 668-6260 |
Full Name | Juliette W Daniels |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 464 Chestnut Street, Manchester, 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 |
---|---|---|---|
1396266938 | NPI | - | NPPES |
30008049 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 218 (New Hampshire) | Primary |
Entity Name | Supportive Care Of New Hampshire Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013657618 PECOS PAC ID: 9133506272 Enrollment ID: O20220511001843 |
Mailing Address | Practice Location Address |
---|---|
Juliette W Daniels, LICSW 464 Chestnut Street, Child And Family Services, Manchester, NH 03101 Ph: (603) 518-4121 | Juliette W Daniels, LICSW 464 Chestnut Street, Child And Family Services, Manchester, NH 03101 Ph: (603) 518-4121 |
Dominique M Whiton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Wall St Ste 400, Manchester, NH 03101 Phone: 603-668-4111 | |
Mr. Samuel Sobel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1555 Elm St, Manchester, NH 03101 Phone: 603-668-4111 Fax: 603-628-7757 | |
Ms. Barbara Ellen Pines-brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Smyth Rd, Manchester, NH 03104 Phone: 603-624-4366 | |
Danielle M Panciocco, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1555 Elm St, Manchester, NH 03101 Phone: 603-668-4111 Fax: 603-628-7757 | |
Melissa K Bascom, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2739 Fax: 603-663-2664 | |
Rebecca Taggart Melia, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2013 Elm St, Manchester, NH 03104 Phone: 603-627-2702 Fax: 603-627-3643 | |
Amy Mcnally, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Wall St Ste 400, Manchester, NH 03101 Phone: 603-668-4111 |