| Dia Ballou, | |
|
122 Pleasant St, Claremont, NH 03743-2679 | |
| (603) 542-5449 | |
| Not Available |
| Full Name | Dia Ballou |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 122 Pleasant St, Claremont, 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 |
|---|---|---|---|
| 1346649142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | West Central Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174635684 PECOS PAC ID: 0840263232 Enrollment ID: O20040813001200 |
| Mailing Address | Practice Location Address |
|---|---|
| Dia Ballou, 9 Hanover St, Suite 2, Lebanon, NH 03766-1312 Ph: (603) 448-0126 | Dia Ballou, 122 Pleasant St, Claremont, NH 03743-2679 Ph: (603) 542-5449 |
Mrs. Deborah Weatherby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 243 Elm St, Claremont, NH 03743 Phone: 603-542-1877 Fax: 603-543-5687 | |
Deb Davidson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 52 W Pleasant St, Claremont, NH 03743 Phone: 603-542-2578 | |
Carol A Wildman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 52 W Pleasant St, Claremont, NH 03743 Phone: 603-542-2578 Fax: 603-342-5436 | |
Dea Candice Applegate, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 251 Elm St, Claremont, NH 03743 Phone: 603-865-1321 Fax: 603-865-1327 | |
Ms. Elizabeth Zea Forrest, LICSW, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 North Street, West Central Services, Claremont, NH 03743 Phone: 603-542-2578 Fax: 603-542-5456 | |
Ms. Kayla R Coffran, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18 Cardinal Ln, Claremont, NH 03743 Phone: 636-222-2789 |