| Melissa Potter Licsw | |
|
133 Main St Epping NH 03042-2457 | |
| (603) 767-3110 | |
| Not Available |
| Full Name | Melissa Potter Licsw |
|---|---|
| Speciality | Social Worker |
| Location | 133 Main St, Epping, New Hampshire |
| Authorized Official Name and Position | Noreen Labatt (OFFICE MANAGER) |
| Authorized Official Contact | 6033058520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Potter Licsw 82 Mountain Rd Raymond NH 03077-1528 Ph: (603) 767-3110 | Melissa Potter Licsw 133 Main St Epping NH 03042-2457 Ph: (603) 767-3110 |
| NPI Number | 1952039281 |
|---|---|
| Provider Enumeration Date | 08/14/2022 |
| Last Update Date | 08/14/2022 |
| Certification Date | 08/04/2022 |
| Medicare PECOS PAC ID | 3173991262 |
|---|---|
| Medicare Enrollment ID | O20221121002622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952039281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa M Potter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134668130 PECOS PAC ID: 0143637009 Enrollment ID: I20210322001592 |
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