Jaclyn Hannan, LICSW - Medicare Clinical Social Worker in Salem, NH

Jaclyn Hannan, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Salem, New Hampshire. Her current practice location is 15 Ermer Rd, Suite 215, Salem, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 890-6767.

Jaclyn Hannan is licensed to practice in New Hampshire (license number 1899) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871967380.

Contact Information

Jaclyn Hannan, LICSW
15 Ermer Rd, Suite 215,
Salem, NH 03079-1271
(603) 890-6767
(603) 893-6767



Healthcare Provider's Profile

Full NameJaclyn Hannan
GenderFemale
SpecialitySocial Worker - Clinical
Location15 Ermer Rd, Salem, New Hampshire
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871967380
  • Provider Enumeration Date: 11/20/2015
  • Last Update Date: 11/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9032517172
  • Enrollment ID: I20211005000115

Medical Identifiers

Medical identifiers for Jaclyn Hannan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871967380NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 1899 (New Hampshire)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Hannan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaclyn Hannan, LICSW
15 Ermer Rd, Suite 215,
Salem, NH 03079-1271

Ph: (603) 890-6767
Jaclyn Hannan, LICSW
15 Ermer Rd, Suite 215,
Salem, NH 03079-1271

Ph: (603) 890-6767

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› Verified 9 days ago


Social Worker in Salem, NH

Gavin Smith,
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 15 Ermer Rd, Suite # 215, Salem, NH 03079
Phone: 603-890-6767    Fax: 603-893-6767
Amy Allen, MSW, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 15 Ermer Rd, Suite 215, Salem, NH 03079
Phone: 603-890-6767    
Ms. Kim Marie Boisselle, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 44 Stiles Rd, Salem, NH 03079
Phone: 603-893-3548    Fax: 603-898-4779
Aaron S Pawelek, L.C.S.W.
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 15 Ermer Rd 215, Salem, NH 03079
Phone: 603-890-6767    Fax: 603-893-6767
Jana M Ruiz, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 87 Stiles Rd Ste 106, Salem, NH 03079
Phone: 603-893-7707    
Ms. Elaine T. Pitocchelli, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 162 No. Main Street, Salem, NH 03079
Phone: 603-458-2215    
Ms. Kathleen Ann Macarthur, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 87 Styles Rd, Suite 106, Salem, NH 03079
Phone: 603-893-7700    Fax: 603-893-7331

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