Healthcare Provider Details

I. General information

NPI: 1093990046
Provider Name (Legal Business Name): EDWARD ORLOWSKI MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 01/21/2022
Certification Date: 01/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 S STATE ST
CONCORD NH
03301-3761
US

IV. Provider business mailing address

8 CENTRE ST STE 2
CONCORD NH
03301-6302
US

V. Phone/Fax

Practice location:
  • Phone: 603-228-3862
  • Fax: 603-226-0073
Mailing address:
  • Phone: 603-228-7300
  • Fax: 603-228-7301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number320
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: