Individual
MS. MADELEINE T MANDELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
12 PARMENTER RD, LONDONDERRY, NH 03053-3280
(603) 437-2069
(603) 437-5588
Mailing address
17 QUENTIN DR, LONDONDERRY, NH 03053-6124
(603) 432-0067
(603) 437-2665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
106128
MA
1041C0700X
Clinical Social Worker
Primary
275
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000275
TUFTS HEALTH PLAN
NH
01
—
006037
HPHC-VALUE OPTIONS
NH
01
—
11258581
AETNA
NH
05
—
30007950
—
NH
01
—
65429
UNITED BEHAVIORAL HEALTH
NH
01
—
MAN683192
ANTHEM BC/BS NH
NH
01
—
NA1394
HARVARD PILGRIM
NH
01
—
P06776
BC/BS MA
MA
Enumeration date
10/05/2006
Last updated
07/09/2007
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