MEDICARE: JANICE C. JEWELL LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	104100000X	Social Worker	2029	NH

General Provider Information

NPI Number	:	1255622288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE C. JEWELL LICSW

Provider Business Mailing Address
First Line	:	210B WALTON RD
Second Line	:
City	:	SEABROOK
State	:	NH
Zip	:	03874-4521
Country	:	US
Telephone Number	:	978-314-9781
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 LIBERTY LN E STE 204
Second Line	:
City	:	HAMPTON
State	:	NH
Zip	:	03842-1839
Country	:	US
Telephone Number	:	603-814-1484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2011
Last Update Date	:	07/21/2022

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Directions to “ JANICE C. JEWELL LICSW” Practice Location

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