Susannah Sherman, LICSW | |
148 Coolidge Ave, Manchester, NH 03102-3493 | |
(603) 883-0005 | |
(603) 883-0007 |
Full Name | Susannah Sherman |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 148 Coolidge Ave, 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 |
---|---|---|---|
1366168239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW20481 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | 5725 (New Hampshire) | Primary |
Entity Name | Suncoast Community Health Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285644799 PECOS PAC ID: 3870402548 Enrollment ID: O20040107000797 |
Mailing Address | Practice Location Address |
---|---|
Susannah Sherman, LICSW 14254 Dr Martin Luther King Jr Blvd, Dover, FL 33527-4414 Ph: (813) 653-6100 | Susannah Sherman, LICSW 148 Coolidge Ave, Manchester, NH 03102-3493 Ph: (603) 883-0005 |
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 |