Individual
RICHARD CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2 WALL ST STE 300, MANCHESTER, NH 03101-1518
(603) 668-4111
Mailing address
2 WALL ST STE 300, MANCHESTER, NH 03101-1518
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
457
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020258994-24
HARVARD PILGRIM
NH
01
—
1039151
CIGNA
NH
01
—
1401277Y0NH01
BLUE CROSS
NH
Enumeration date
09/20/2006
Last updated
03/22/2021
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