Mario Brodeur-Fossa, LICSW
Social Worker, Clinical in Berlin, New Hampshire
1891820825- Practice location
- 3 12TH St, Berlin, NH 03570-3860
- Phone
- 603-752-7404
- Fax
- 603-752-5194
- Last updated
- July 8, 2007
Mario Brodeur-Fossa is a Social Worker, Clinical based in Berlin, NH. Mario Brodeur-Fossa practices in Berlin, NH and has the professional credentials of LICSW. The NPI Number for Mario Brodeur-Fossa is 1891820825 and holds a License No. 424 (NH). The current practice location address for Mario Brodeur-Fossa is 3 12TH St, Berlin, NH 03570-3860 and can be reached out via phone at 603-752-7404 and via fax at 603-752-5194.
Provider Profile Details
- NPI Number
- 1891820825
- Provider Name
- Mario Brodeur-Fossa
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3 12TH St, Berlin, NH 03570-3860
- Phone Number
- 603-752-7404
- Fax Number
- 603-752-5194
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 22, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 12TH St
Berlin, NH 03570-3860 - City
- Berlin
- State
- New Hampshire
- Zip
- 03570-3860
- Phone Number
- 603-752-7404
- Fax Number
- 603-752-5194
Provider Business Mailing Address Details
- Address
- 3 12TH St
Berlin, NH 03570-3860 - City
- Berlin
- State
- NH
- Zip
- 03570-3860
- Phone Number
- 603-752-7404
- Fax Number
- 603-752-5194
License Information
- License Number
- 424
- License State
- NH
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Berlin, NH
View all Social Worker, Clinical providers in Berlin →- Barbara E Coman, LICSWSocial Worker, Clinical · NPI 1073522793
- Brinna E Labrecque, MSWSocial Worker, Clinical · NPI 1194623090
- Christine GrantSocial Worker, Clinical · NPI 1376464990
- Colleen Schaufele, LCSWSocial Worker, Clinical · NPI 1588334007
- Dr. Jennifer L Nestell/Nielsen, PHD MSW LICSW LSCSWSocial Worker, Clinical · NPI 1205970787
- Hannah V DemersSocial Worker, Clinical · NPI 1659005593
Frequently Asked Questions
What is the NPI number of Mario Brodeur-Fossa, LICSW?
The NPI number of Mario Brodeur-Fossa, LICSW is 1891820825. It was assigned on February 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Mario Brodeur-Fossa, LICSW?
Mario Brodeur-Fossa, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NH under license number 424.
Where does Mario Brodeur-Fossa, LICSW practice?
The practice location is 3 12TH St, Berlin, NH 03570-3860. The office can be reached at 603-752-7404 (phone) or 603-752-5194 (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 1891820825 directly on the NPPES registry website.