Mrs Jillian N Peterson, MSW, LICSW, MLADC | |
10 Ferry St Ste 313, Concord, NH 03301-5004 | |
(860) 788-6404 | |
Not Available |
Full Name | Mrs Jillian N Peterson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 10 Ferry St Ste 313, Concord, 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 |
---|---|---|---|
1215317268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2431 (New Hampshire) | Primary |
Entity Name | Medoptions Of New Hampshire Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033567748 PECOS PAC ID: 0345534780 Enrollment ID: O20160809000398 |
Mailing Address | Practice Location Address |
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Mrs Jillian N Peterson, MSW, LICSW, MLADC Po Box 1595, Middletown, CT 06457-8095 Ph: (860) 788-6404 | Mrs Jillian N Peterson, MSW, LICSW, MLADC 10 Ferry St Ste 313, Concord, NH 03301-5004 Ph: (860) 788-6404 |
Kyle Boston, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 West St, Concord, NH 03301 Phone: 603-225-0123 | |
Shannen Dufour, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40 Pleasant St, Concord, NH 03301 Phone: 603-226-7505 | |
Ms. Judith Pregot, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Ferry St, Concord, NH 03301 Phone: 800-370-3651 Fax: 877-515-7147 | |
Ms. Anne D Mccausland, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 Centre St, Suite 2, Concord, NH 03301 Phone: 603-228-7300 Fax: 603-228-7301 | |
Katherine Lipp, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 West St, Concord, NH 03301 Phone: 603-225-0123 | |
Laura Conley, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Loudon Rd Bldg 3, Concord, NH 03301 Phone: 603-228-0547 | |
Ms. Nicole Daune Goyette, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13 Green St, Concord, NH 03301 Phone: 603-224-7479 Fax: 603-224-7445 |