Healthcare Provider Details

I. General information

NPI: 1609176056
Provider Name (Legal Business Name): ANNETTE ESCALANTE MSW, MLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2010
Last Update Date: 11/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PINE STREET EXT
NASHUA NH
03060-3248
US

IV. Provider business mailing address

5 PINE STREET EXT
NASHUA NH
03060-3248
US

V. Phone/Fax

Practice location:
  • Phone: 603-881-4848
  • Fax: 603-594-3644
Mailing address:
  • Phone: 603-881-4848
  • Fax: 603-594-3644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number599
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: