Provider Demographics
NPI:1538335047
Name:PINARD, JANE ANNE (LICSW)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:ANNE
Last Name:PINARD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 CHESTNUT ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1447
Mailing Address - Country:US
Mailing Address - Phone:603-668-7744
Mailing Address - Fax:603-668-2605
Practice Address - Street 1:141 UNION ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-5563
Practice Address - Country:US
Practice Address - Phone:603-625-0010
Practice Address - Fax:603-625-0075
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical