| Barrie Daigneault Licsw Llc | |
|
53 Mammoth Rd Manchester NH 03109-4301 | |
| (603) 867-2974 | |
| (603) 666-7177 |
| Full Name | Barrie Daigneault Licsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 53 Mammoth Rd, Manchester, New Hampshire |
| Authorized Official Name and Position | Barrie Daigneault (CLINICIAN) |
| Authorized Official Contact | 6038672974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barrie Daigneault Licsw Llc 53 Mammoth Rd Manchester NH 03109-4301 Ph: (603) 867-2974 | Barrie Daigneault Licsw Llc 53 Mammoth Rd Manchester NH 03109-4301 Ph: (603) 867-2974 |
| NPI Number | 1649724824 |
|---|---|
| Provider Enumeration Date | 08/05/2016 |
| Last Update Date | 08/05/2016 |
| Medicare PECOS PAC ID | 9436446762 |
|---|---|
| Medicare Enrollment ID | O20160929001460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649724824 | NPI | - | NPPES |
| 3086040 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 848 (New Hampshire) | Primary |
| Provider Name | Barrie Ann Ann Daigneault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659380251 PECOS PAC ID: 1759390941 Enrollment ID: I20060417000559 |
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