| Kim Burkland-ward, Licsw, P.l.l.c | |
|
154 Broad St Ste 1511 Nashua NH 03063-3205 | |
| (603) 521-7806 | |
| Not Available |
| Full Name | Kim Burkland-ward, Licsw, P.l.l.c |
|---|---|
| Speciality | Social Worker |
| Location | 154 Broad St Ste 1511, Nashua, New Hampshire |
| Authorized Official Name and Position | Kim Burkland-ward (OWNER) |
| Authorized Official Contact | 6035217806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Burkland-ward, Licsw, P.l.l.c 154 Broad St Ste 1511 Nashua NH 03063-3205 Ph: (603) 521-7806 | Kim Burkland-ward, Licsw, P.l.l.c 154 Broad St Ste 1511 Nashua NH 03063-3205 Ph: (603) 521-7806 |
| NPI Number | 1518344340 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Medicare PECOS PAC ID | 6002128667 |
|---|---|
| Medicare Enrollment ID | O20150710000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518344340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1840 (New Hampshire) | Primary |
| Provider Name | Kim Marie Burkland-ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912228867 PECOS PAC ID: 7810209475 Enrollment ID: I20150710000118 |
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