| Timothy Gordon Runk, LICSW | |
|
16 Fifth St, Dover, NH 03820-2950 | |
| (603) 749-4462 | |
| (603) 749-2475 |
| Full Name | Timothy Gordon Runk |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 30 Years |
| Location | 16 Fifth St, Dover, New Hampshire |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790038008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1255 (New Hampshire) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Counseling Center Of Nashua Inc | 3274523758 | 158 |
| Entity Name | The Counseling Center Of Nashua Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144275389 PECOS PAC ID: 3274523758 Enrollment ID: O20040929000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Gordon Runk, LICSW 16 Fifth St, Dover, NH 03820-2950 Ph: (603) 749-4462 | Timothy Gordon Runk, LICSW 16 Fifth St, Dover, NH 03820-2950 Ph: (603) 749-4462 |
Erin Wardrop, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Chestnut St, Dover, NH 03820 Phone: 603-516-9300 Fax: 603-740-9179 | |
Katherine B Frick, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16 5th St, Dover, NH 03820 Phone: 603-749-4462 Fax: 603-749-2475 | |
Sylvia A Bradd, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 16 Fifth St, Dover, NH 03820 Phone: 603-883-0005 | |
Jennifer C Spargo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Westwood Cir, Dover, NH 03820 Phone: 603-749-7827 | |
Mary Boucher, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6 Old Rochester Rd Ste 102c, Dover, NH 03820 Phone: 603-828-2434 | |
Sharissa Stout, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 Washington St Ste 1, Dover, NH 03820 Phone: 603-504-8355 | |
Lindsey Wyma, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 15 Old Rollinsford Rd Ste 102, Dover, NH 03820 Phone: 603-749-4963 |