Randolph J Cromwell

Individual provider Active NPI Social Worker · Berlin, NH

NPI 1114679479 · NPPES record last updated Jan 18, 2022

Key facts

NPI
1114679479
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
3 Twelfth St
Berlin, NH 03570-3860
Phone
(603) 752-7404
NPI assigned
Jan 18, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

3 Twelfth St
Berlin, NH 03570-3860

Mailing address

3 Twelfth St
Berlin, NH 03570-3860
Phone (603) 752-7404

Other providers in Berlin, NH

All providers in Berlin, NH · Social Worker in New Hampshire

Sources for this page

Verify at the official NPI Registry.