Elizabeth Cooper, LICSW | |
16 Elm Street, Suite E, Wolfeboro, NH 03894-1691 | |
(603) 810-0403 | |
Not Available |
Full Name | Elizabeth Cooper |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 16 Elm Street, Wolfeboro, 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 |
---|---|---|---|
1326633892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05663000 (New Jersey) | Secondary |
1041C0700X | Social Worker - Clinical | 2458 (New Hampshire) | Primary |
Entity Name | White Horse Addiction Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982078218 PECOS PAC ID: 7618323874 Enrollment ID: O20231024001573 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Cooper, LICSW 11 N Line Rd, Wolfeboro, NH 03894-4511 Ph: (603) 810-0403 | Elizabeth Cooper, LICSW 16 Elm Street, Suite E, Wolfeboro, NH 03894-1691 Ph: (603) 810-0403 |
Sarah B. Titus-smith, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 56 Furber Lane, Po Box 1689, Wolfeboro, NH 03894 Phone: 603-969-0273 | |
Yvonne Varrieur Klotz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 Bay St, Wolfeboro, NH 03894 Phone: 603-569-1884 | |
Kristi Gowell Roark, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Endicot Street, Wolfeboro, NH 03894 Phone: 603-569-4776 | |
Amanda Goddu, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 240 S Main St, Wolfeboro, NH 03894 Phone: 603-515-2066 | |
Kathleen D. Dotter, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 84 Baystreet, Wolfeboro, NH 03894 Phone: 603-513-1620 Fax: 603-875-5022 | |
Leslie Bacinelli, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 Bay St, Wolfeboro, NH 03894 Phone: 603-569-1882 Fax: 603-569-1884 |