Provider Demographics
NPI:1255880860
Name:PEIGHTELL, JANICE (MSW)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:PEIGHTELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 HIGH STREET
Mailing Address - Street 2:P.O. BOX 320
Mailing Address - City:CANDIA
Mailing Address - State:NH
Mailing Address - Zip Code:03034-0320
Mailing Address - Country:US
Mailing Address - Phone:603-483-2886
Mailing Address - Fax:603-483-0161
Practice Address - Street 1:183 HIGH STREET
Practice Address - Street 2:
Practice Address - City:CANDIA
Practice Address - State:NH
Practice Address - Zip Code:03034-0320
Practice Address - Country:US
Practice Address - Phone:603-483-2886
Practice Address - Fax:603-483-0161
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH806OtherSTATE OF NH BOARD OF MENTAL HEALTH PRACTICE INDEPENDENT CLINICAL SOCIAL WORKER