BRANDON TETREAULT-COHEN (NPI# 1689024671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689024671 |
| Entity Type | Individual |
| Full Name | BRANDON TETREAULT-COHEN |
| Credential | BSW |
| Practice Address |
122 Pleasant St Claremont NH 03743-2679 |
| Mailing Address |
9 Hanover St Ste 2 Lebanon NH 03766-1312 |
| Practice Telephone | 6035425449 |
| Mailing Telephone | 6034480126 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 307750 | 05 |
| Street Address |
122 PLEASANT ST |
| City | CLAREMONT |
| State | NH |
| Zip Code | 03743-2679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548740590 | Elena Karis | Case Manager/Care Coordinator | 122 Pleasant St, Claremont, NH 03743 | 2018-08-20 |
| 1922453240 | Mandy Boulton | Case Manager/Care Coordinator | 122 Pleasant St, Claremont, NH 03743-2679 | 2016-04-25 |
| 1427415645 | Katrina Punt | Case Manager/Care Coordinator | 122 Pleasant St, Claremont, NH 03743-2679 | 2016-01-19 |
| 1407229222 | Marissa Duncan | Case Manager/Care Coordinator | 122 Pleasant St, Claremont, NH 03743-2679 | 2015-11-02 |
| 1598140543 | Holly Smith | Case Manager/Care Coordinator | 122 Pleasant St, Claremont, NH 03743-2679 | 2015-07-20 |
| 1952782005 | Kristen Eisner | Case Manager/Care Coordinator | 122 Pleasant St, Claremont, NH 03743-2679 | 2015-06-15 |
| 1346649142 | Dia Ballou | Social Worker | 122 Pleasant St, Claremont, NH 03743-2679 | 2014-08-18 |
| 1093150211 | Heather L. Wilcoxon | Counselor | 122 Pleasant St, Claremont, NH 03743-2679 | 2013-05-01 |
| 1083963367 | Poki Pagter-newton | Counselor | 122 Pleasant St, Claremont, NH 03743-2679 | 2012-09-02 |
| 1184993370 | Martha L. Pacini | Counselor | 122 Pleasant St, Claremont, NH 03743-2679 | 2011-12-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321036 | Jennifer Maynard | Speech-Language Pathologist | 160 Hanover St, Claremont, NH 03743 | 2020-09-16 |
| 1285167122 | Erik Baker | Case Management | 52 W Pleasant Street, Claremont, NH 03743 | 2017-04-07 |
| 1598208076 | Home | Public Health or Welfare | 7 Pear St Unit C, Clearmont, NH 03743 | 2016-12-01 |
| 1306238118 | Kyle W Messier | Dental Hygienist | 1 Tremont St., Claremont, NH 03743 | 2015-03-03 |
| 1457653792 | 3 Stone Dental Pllc | Dentist | 367 Washington St. Unit 3, Claremont, NH 03743 | 2010-11-18 |
| 1427363993 | Swathi Dasari | Pharmacist | 71-73 Pleasant St., Claremont, NH 03743 | 2010-08-09 |
| 1811135460 | Kim Marie Reardon | Occupational Therapy Assistant | 290 Hanover Street, Claremont, NH 03743 | 2009-02-04 |
| 1447497227 | Elizabeth Zea Forrest | Social Worker | 140 North Street, West Central Services, Claremont, NH 03743 | 2009-01-15 |
| 1346425980 | Personal Touch Home Aides of Greater Portsmouth, Inc. | Home Health | 156 A Elm Street, Claremont, NH 03743 | 2008-01-02 |
| 1720121445 | Tlc Family Resource Center | Clinic/Center | 109 Pleasant Street, Claremont, NH 03743 | 2007-02-14 |
| Find all providers in zip 03743 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679833180 | Jennifer Loyd | Case Manager/Care Coordinator | 7927 E Il 250, Claremont, IL 62421-2638 | 2012-05-18 |
| 1780298414 | Julianne Trejo | Case Manager/Care Coordinator | 130 Pleasant St, Claremont, NH 03743-3628 | 2020-09-01 |
| 1255945986 | Eric Resseguie Jr. | Case Manager/Care Coordinator | 130 Pleasant St, Claremont, NH 03743-3628 | 2020-09-01 |
| 1932711439 | Todd Balise | Case Manager/Care Coordinator | 52 W Pleasant St, Claremont, NH 03743-3055 | 2020-08-18 |
| 1154931939 | Julianna Bowers | Case Manager/Care Coordinator | 2243 N Mountain Ave, Claremont, CA 91711-1586 | 2020-08-05 |
| 1104440551 | Sarah Prescott | Case Manager/Care Coordinator | 130 Pleasant St, Claremont, NH 03743-3628 | 2020-06-02 |
| 1174155899 | Joseph Douglas Carton | Case Manager/Care Coordinator | 52 W Pleasant St, Claremont, NH 03743-3055 | 2020-02-11 |
| 1669039129 | Donna Ann Douglas | Case Manager/Care Coordinator | 52 W Pleasant St, Claremont, NH 03743-3055 | 2019-05-21 |
| 1609335645 | Heather Underhill Ward Hurley | Case Manager/Care Coordinator | 52 W Pleasant St, Claremont, NH 03743-3055 | 2019-03-19 |
| 1437617859 | Stacey Marie Cantara | Case Manager/Care Coordinator | 130 Pleasant St, Claremont, NH 03743-3628 | 2019-03-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.