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35 Academy St Laconia NH 03246-3606 | |
| (603) 556-4360 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 35 Academy St, Laconia, New Hampshire |
| Authorized Official Name and Position | David M Ferruolo (PRESIDENT) |
| Authorized Official Contact | 6035564360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 6421 Laconia NH 03247-6421 Ph: (603) 556-4360 | 35 Academy St Laconia NH 03246-3606 Ph: (603) 556-4360 |
| NPI Number | 1144889130 |
|---|---|
| Provider Enumeration Date | 06/12/2019 |
| Last Update Date | 07/05/2021 |
| Certification Date | 07/05/2021 |
| Medicare PECOS PAC ID | 8123358686 |
|---|---|
| Medicare Enrollment ID | O20190925003190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144889130 | NPI | - | NPPES |
| Provider Name | Samuel Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962682591 PECOS PAC ID: 9335223965 Enrollment ID: I20080221000106 |
| Provider Name | David M Ferruolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760932735 PECOS PAC ID: 8426303900 Enrollment ID: I20180625002673 |
| Provider Name | Jeanette June Hook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821644717 PECOS PAC ID: 1951701150 Enrollment ID: I20241119003883 |
Granite State Geriatrics Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 635 Main St Ste 303, Laconia, NH 03246 Phone: 603-409-0735 Fax: 877-919-0640 | |
Open View Therapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 783 Elm St Unit 4, Laconia, NH 03246 Phone: 415-971-9561 | |
Downetown Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Mill Plz, Laconia, NH 03246 Phone: 603-945-4561 | |
Gray Matters Counseling And Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Union Ave, Laconia, NH 03246 Phone: 603-260-1101 |