MEDICARE: CARMELLA MILANO DOW 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	1041C0700X	Clinical Social Worker	2308	NH

General Provider Information

NPI Number	:	1548809130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMELLA MILANO DOW LICSW

Provider Business Mailing Address
First Line	:	835 HANOVER ST STE 305
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03104-5401
Country	:	US
Telephone Number	:	603-784-9012
Fax Number	:	603-784-9012

Provider Business Practice Location Address
First Line	:	835 HANOVER ST STE 305
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03104-5401
Country	:	US
Telephone Number	:	603-784-9012
Fax Number	:	603-784-9012

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

Provider Enumeration Date	:	12/30/2019
Last Update Date	:	03/12/2025

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