Individual
MS. MADELEINE T MANDELBAUM
Active
Individual
MS. MADELEINE T MANDELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
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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