Christina Marie Bean, LICSW

Individual provider Active NPI Clinical Social Worker · Manchester, NH

NPI 1710617469 · NPPES record last updated Jun 15, 2022

Key facts

NPI
1710617469
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2383 (NH)
Practice address
445 Cypress St Ste 8
Manchester, NH 03103-3600
Phone
(603) 668-4079
Fax
(603) 663-8605
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Professional Services Current
since Aug 15, 2022
Accepting new patients
Elliot Professional Services Past
since Jun 21, 2022
Accepting new patients

Locations

445 Cypress St
Ste 8
Manchester, NH 03103
Phone (603) 552-1670

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2383 NH Yes

Addresses

Primary practice location

445 Cypress St Ste 8
Manchester, NH 03103-3600

Mailing address

445 Cypress St Ste 8
Manchester, NH 03103-3600
Phone (603) 668-4079

Other providers in Manchester, NH

All providers in Manchester, NH · Clinical Social Worker in New Hampshire

Sources for this page

Verify at the official NPI Registry.