Provider Demographics
NPI:1982320081
Name:PARECE-GROGAN, BRIDGET ERIN (MSW)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:ERIN
Last Name:PARECE-GROGAN
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 1:1A COMMONS DR UNIT 5
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3448
Mailing Address - Country:US
Mailing Address - Phone:603-255-3877
Mailing Address - Fax:603-386-6317
Practice Address - Street 1:1A COMMONS DR UNIT 5
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3448
Practice Address - Country:US
Practice Address - Phone:603-255-3877
Practice Address - Fax:603-386-6317
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH51061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical