Individual provider · Type 1 NPI

Jennifer Chisholm, LICSW, MLADC

Clinical Social Worker · Manchester, NH

NPI number 1134464019 Active

Practice location

464 Chestnut St
Manchester, NH 03101-1804

Call (603) 518-4325 Map

Fax (603) 668-6260

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0887 (NH)
Clinical Social Worker Primary 1041C0700X1788 (NH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1134464019

Jennifer Chisholm, LICSW, MLADC's National Provider Identifier is 1134464019, issued on Dec 4, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Manchester, NH. The record was last updated on Jul 3, 2014.