Timothy Wight, LICSW | |
360 Route 101 Ste 13b, Bedford, NH 03110-5033 | |
(603) 488-1773 | |
(844) 907-2936 |
Full Name | Timothy Wight |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 360 Route 101 Ste 13b, Bedford, 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 |
---|---|---|---|
1487102224 | NPI | - | NPPES |
3136239 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Child And Family Psychological Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912987181 PECOS PAC ID: 5991763823 Enrollment ID: O20041227000004 |
Mailing Address | Practice Location Address |
---|---|
Timothy Wight, LICSW 43 Granite St, Melrose, MA 02176-5801 Ph: (617) 771-6582 | Timothy Wight, LICSW 360 Route 101 Ste 13b, Bedford, NH 03110-5033 Ph: (603) 488-1773 |
Wendi Anne Hieronymus, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 County Rd, Bedford, NH 03110 Phone: 603-310-9000 Fax: 603-472-3024 | |
Jane Bogursky, RN, MSW Counselor Medicare: Medicare Enrolled Practice Location: 31 Buckingham Way, Bedford, NH 03110 Phone: 603-494-3039 | |
Sandra Volkman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 S River Rd, Building E, Bedford, NH 03110 Phone: 603-819-3816 | |
Angela Georges, MS, LCMHC, MLADC Counselor Medicare: Medicare Enrolled Practice Location: 173 S River Rd Ste 2, Bedford, NH 03110 Phone: 855-641-1379 | |
Brianna Zenkus, LICSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 S River Rd, Bedford, NH 03110 Phone: 603-242-2296 | |
Mr. Kyle Russo, MA, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Cedarwood Dr Unit 10, Bedford, NH 03110 Phone: 603-255-3877 | |
Jacquelyn Topper Duford, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Route 101 Ste 10, Bedford, NH 03110 Phone: 603-472-2846 |