Mellisa J Mullen, LICSW | |
1 Medical Center Dr, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03756-1000 | |
(603) 653-1732 | |
Not Available |
Full Name | Mellisa J Mullen |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 29 Years |
Location | 1 Medical Center Dr, Lebanon, New Hampshire |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952477002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1202 (New Hampshire) | Primary |
1041C0700X | Social Worker - Clinical | 089-0001050 (Vermont) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dartmouth-hitchcock Clinic | 4183537509 | 1138 |
Entity Name | Mary Hitchcock Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
Entity Name | Dartmouth-hitchcock Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
Mailing Address | Practice Location Address |
---|---|
Mellisa J Mullen, LICSW 1 Medical Center Dr, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03756-1000 Ph: (603) 653-1732 | Mellisa J Mullen, LICSW 1 Medical Center Dr, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03756-1000 Ph: (603) 653-1732 |
Kimberly Jeanson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 Hanover St, Suite 2, Lebanon, NH 03766 Phone: 603-448-0126 | |
Alyson M Lewis, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-695-2500 | |
Leah E Abrahamsen, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 Phone: 603-650-6150 | |
Mrs. Susan Rand Pullen, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Pediatric Primary Care, 6l, Lebanon, NH 03756 Phone: 603-653-6035 Fax: 603-650-0910 | |
Noah Jacobson-goodhue, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 W Park St Ste 426, Lebanon, NH 03766 Phone: 802-299-0451 | |
Hilary Sara Garrison-botsford, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 85 Mechanic St, Suite 360, Lebanon, NH 03766 Phone: 603-448-5610 | |
Reneka Hawkins, MPA, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18 Merchant St Unit 307, Lebanon, NH 03766 Phone: 901-614-3170 |