Jennifer Chisholm, LICSW, MLADC is a medicare enrolled "Social Worker - Clinical" provider in Manchester, New Hampshire. Her current practice location is
464 Chestnut St, Manchester, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 518-4325.
Jennifer Chisholm is licensed to practice in New Hampshire (license number 1788) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134464019.
Healthcare Provider's Profile
Full Name | Jennifer Chisholm |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 464 Chestnut St, Manchester, New Hampshire |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer Chisholm attended and graduated from in
NPI Data:
- NPI Number: 1134464019
- Provider Enumeration Date: 12/04/2012
- Last Update Date: 07/03/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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
enrolled with medicare and thus, if eligible, can 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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