MEDICARE: CORY JEANNE OWENS-BATTY MSW, LICSW, LSSW

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	1041C0700X	Clinical Social Worker
2	1041S0200X	School Social Worker	150	NH
3	1041C0700X	Clinical Social Worker	1897	NH

General Provider Information

NPI Number	:	1295049955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORY JEANNE OWENS-BATTY MSW, LICSW, LSSW

Provider Business Mailing Address
First Line	:	PO BOX 18
Second Line	:
City	:	CHESTER
State	:	NH
Zip	:	03036-0018
Country	:	US
Telephone Number	:	866-963-1128
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 VILLAGER RD
Second Line	:
City	:	CHESTER
State	:	NH
Zip	:	03036-4035
Country	:	US
Telephone Number	:	603-591-3902
Fax Number	:

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

Provider Enumeration Date	:	08/04/2010
Last Update Date	:	01/21/2025

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