Active NPIIndividual provider

Mrs. Melissa R Bertoulin, MSW LICSW

Social Worker in Manchester, New Hampshire

NPI Number1487674917
Practice location
138 Webster Street, Manchester, NH 03104
Fax
603-645-5980
Last updated
July 8, 2007

Melissa Renee Bertoulin is a Social Worker based in Manchester, NH. Melissa Renee Bertoulin practices in Manchester, NH and has the professional credentials of MSW LICSW. The NPI Number for Melissa Renee Bertoulin is 1487674917 and holds a License No. 1320 (NH). The current practice location address for Melissa Renee Bertoulin is 138 Webster Street, Manchester, NH 03104 and can be reached out via phone at 603-645-5977 and via fax at 603-645-5980.

Provider Profile Details

NPI Number
1487674917
Provider Name
Melissa Renee Bertoulin
Credential
MSW LICSW
Provider Entity Type
Individual
Gender
Female
Address
138 Webster Street, Manchester, NH 03104
Phone Number
603-645-5977
Fax Number
603-645-5980
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Other Names
Ms. Melissa Renee Fast, MSW LICSW (Former Name)
Provider Enumeration Date
July 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
138 Webster Street
Manchester, NH 03104
Zip
03104
Phone Number
603-645-5977
Fax Number
603-645-5980
Manchester, NH 03104Get directions →

Provider Business Mailing Address Details

Address
Po Box 3300
Manchester, NH 03105-3300
City
Manchester
State
NH
Zip
03105-3300
Phone Number
603-645-5977
Fax Number
603-645-5980

License Information

License Number
1320
License State
NH
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Melissa R Bertoulin, MSW LICSW?

The NPI number of Mrs. Melissa R Bertoulin, MSW LICSW is 1487674917. It was assigned on July 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Melissa R Bertoulin, MSW LICSW?

Mrs. Melissa R Bertoulin, MSW LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NH under license number 1320.

Where does Mrs. Melissa R Bertoulin, MSW LICSW practice?

The practice location is 138 Webster Street, Manchester, NH 03104. The office can be reached at 603-645-5977 (phone) or 603-645-5980 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487674917 directly on the NPPES registry website.

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