| Crystal Marie Painter, LICSW, MLADC | |
|
700 Lake Ave, Manchester, NH 03103-2734 | |
| (603) 263-9489 | |
| (603) 621-4293 |
| Full Name | Crystal Marie Painter |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 700 Lake Ave, Manchester, New Hampshire |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891559449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5249 (New Hampshire) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1511 (New Hampshire) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elliot Professional Services | 6103727920 | 368 |
| Entity Name | Elliot Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285627935 PECOS PAC ID: 6103727920 Enrollment ID: O20040115000634 |
| Entity Name | Fusion Behavioral Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497512198 PECOS PAC ID: 7416490438 Enrollment ID: O20240619000448 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Marie Painter, LICSW, MLADC 700 Lake Ave, Manchester, NH 03103-2734 Ph: (603) 263-9489 | Crystal Marie Painter, LICSW, MLADC 700 Lake Ave, Manchester, NH 03103-2734 Ph: (603) 263-9489 |
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 |