| Kelley Corson Licsw Llc | |
|
221 Piscassic Rd Newfields NH 03856-8109 | |
| (603) 321-7305 | |
| Not Available |
| Full Name | Kelley Corson Licsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 221 Piscassic Rd, Newfields, New Hampshire |
| Authorized Official Name and Position | Kelley Anne Corson (EMPLOYEE) |
| Authorized Official Contact | 9783785411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Corson Licsw Llc Po Box 761 Exeter NH 03833-0761 Ph: (978) 378-5411 | Kelley Corson Licsw Llc 221 Piscassic Rd Newfields NH 03856-8109 Ph: (603) 321-7305 |
| NPI Number | 1477316396 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Medicare PECOS PAC ID | 1052751021 |
|---|---|
| Medicare Enrollment ID | O20240425000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477316396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelley Corson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114430246 PECOS PAC ID: 1456699974 Enrollment ID: I20190207002783 |
Dbt For You Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Main St Unit 397, Newfields, NH 03856 Phone: 603-247-2346 Fax: 603-218-6352 |