| Jacqueline B Bilodeau, | |
|
181 Crawford Road, Derby, VT 05829 | |
| (802) 334-6744 | |
| Not Available |
| Full Name | Jacqueline B Bilodeau |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 181 Crawford Road, Derby, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467971895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0890130775 (Vermont) | Primary |
| Entity Name | Northeast Kingdom Human Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043372709 PECOS PAC ID: 0941276703 Enrollment ID: O20041012001355 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline B Bilodeau, Po Box 376, Montgomery Center, VT 05471-0376 Ph: () - | Jacqueline B Bilodeau, 181 Crawford Road, Derby, VT 05829 Ph: (802) 334-6744 |
Nancy C Loomis, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 181 Crawford Road, Derby, VT 05829 Phone: 802-334-6744 Fax: 802-334-7340 | |
Anne C Lynch, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 181 Crawford Road, Derby, VT 05829 Phone: 802-334-6744 Fax: 802-334-7340 | |
Claudia M Alexander, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 181 Crawford Road, Derby, VT 05829 Phone: 802-334-6744 |