Jennifer Chisholm, LICSW, MLADC is a
Social Worker - Clinical based in Manchester, New Hampshire. Jennifer Chisholm is licensed to practice in New Hampshire (license number 1788) and her current practice location is
464 Chestnut St, Manchester, New Hampshire. She can be reached at her office (for appointments etc.) via phone at
(603) 518-4325.
NPI number for Jennifer Chisholm is 1134464019 and her current mailing address is 464 Chestnut St, Manchester, New Hampshire. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134464019.
Healthcare Provider's Profile
| Full Name | Jennifer Chisholm |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 464 Chestnut St, Manchester, New Hampshire |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134464019
- Provider Enumeration Date: 12/04/2012
- Last Update Date: 07/03/2014
Medical Identifiers
Medical identifiers for Jennifer Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134464019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0887 (New Hampshire) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1788 (New Hampshire) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Chisholm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jennifer Chisholm, LICSW, MLADC 464 Chestnut St, Manchester, NH 03101-1804 Ph: (603) 518-4325 | Jennifer Chisholm, LICSW, MLADC 464 Chestnut St, Manchester, NH 03101-1804 Ph: (603) 518-4325 |
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