| Alyssa Kathleen Basiliere, LICSW | |
|
445 Willow St, Manchester, NH 03103-6216 | |
| (978) 886-8151 | |
| Not Available |
| Full Name | Alyssa Kathleen Basiliere |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 445 Willow St, Manchester, 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 |
|---|---|---|---|
| 1326767112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089.0134692 (Vermont) | Primary |
| Entity Name | Community Health Centers Of Burlington Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689678963 PECOS PAC ID: 2062491251 Enrollment ID: O20040720000792 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Kathleen Basiliere, LICSW 359 Winding Pond Rd, Londonderry, NH 03053-3391 Ph: (978) 886-8151 | Alyssa Kathleen Basiliere, LICSW 445 Willow St, Manchester, NH 03103-6216 Ph: (978) 886-8151 |
Akosoa Mcfadgion, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Wall St, Manchester, NH 03101 Phone: 603-668-4111 | |
Dominique M Whiton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Wall St Ste 400, Manchester, NH 03101 Phone: 603-668-4111 | |
Mr. Samuel Sobel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1555 Elm St, Manchester, NH 03101 Phone: 603-668-4111 Fax: 603-628-7757 | |
Ms. Barbara Ellen Pines-brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Smyth Rd, Manchester, NH 03104 Phone: 603-624-4366 | |
Danielle M Panciocco, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1555 Elm St, Manchester, NH 03101 Phone: 603-668-4111 Fax: 603-628-7757 | |
Melissa K Bascom, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2739 Fax: 603-663-2664 | |
Rebecca Taggart Melia, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2013 Elm St, Manchester, NH 03104 Phone: 603-627-2702 Fax: 603-627-3643 |