| Timisha Malone, LICSW | |
|
237 Hedding Rd, Epping, NH 03042-1525 | |
| (603) 815-2327 | |
| Not Available |
| Full Name | Timisha Malone |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 237 Hedding Rd, Epping, 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 |
|---|---|---|---|
| 1801307178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Time For A Change Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508592577 PECOS PAC ID: 6709261159 Enrollment ID: O20220921000801 |
| Mailing Address | Practice Location Address |
|---|---|
| Timisha Malone, LICSW 237 Hedding Rd, Epping, NH 03042-1525 Ph: () - | Timisha Malone, LICSW 237 Hedding Rd, Epping, NH 03042-1525 Ph: (603) 815-2327 |
Michael Richard Ralph, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Pawnee Ln, Epping, NH 03042 Phone: 603-244-8888 | |
Ms. Ashley Davis Bush, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Harvey Ln, Epping, NH 03042 Phone: 603-734-2751 | |
Ms. Eva M Skelley-peters, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 322 Pleasant St, Epping, NH 03042 Phone: 603-734-2254 Fax: 603-734-2254 | |
Miss Jennifer M Shuart, PMHNP-BC, APRN Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 131b Main St, Epping, NH 03042 Phone: 617-283-3305 Fax: 603-218-6990 |