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MS. MADELEINE T MANDELBAUM MSW LICSW NPI 1538255989


NPI Information

NPI: 1538255989
Provider Name: MS. MADELEINE T MANDELBAUM, MSW, LICSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
12 PARMENTER RD
LONDONDERRY, NH
ZIP 03053
Phone: (603) 437-2069
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MS. Madeleine T Mandelbaum, MSW, LICSW is a clinical social worker in Londonderry, NH. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MS. Madeleine T Mandelbaum, MSW, LICSW NPI is 1538255989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12 PARMENTER RD
LONDONDERRY, NH
ZIP 03053-280
Phone: (603) 437-2069
Fax: (603) 437-5588

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical106128MASSACHUSETTSNo
21041C0700XSocial WorkerClinical275NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MA RE3681MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSINDIVIDUAL MEDICARE PART
265429OTHERNEW HAMPSHIREUNITED BEHAVIORAL HEALTH
3NA1394OTHERNEW HAMPSHIREHARVARD PILGRIM
4000275OTHERNEW HAMPSHIRETUFTS HEALTH PLAN
5MAN683192OTHERNEW HAMPSHIREANTHEM BC/BS NH
611258581OTHERNEW HAMPSHIREAETNA
7P06776OTHERMASSACHUSETTSBC/BS MA
830007950MEDICAIDNEW HAMPSHIRE
9006037OTHERNEW HAMPSHIREHPHC-VALUE OPTIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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