Provider Demographics
NPI:1447525688
Name:CARRIGG, DANICA MARIE (MS)
Entity type:Individual
Prefix:
First Name:DANICA
Middle Name:MARIE
Last Name:CARRIGG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:DANICA
Other - Middle Name:MARIE
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:7 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060
Mailing Address - Country:US
Mailing Address - Phone:603-889-6147
Mailing Address - Fax:603-882-2017
Practice Address - Street 1:440 AMHERST ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063
Practice Address - Country:US
Practice Address - Phone:603-889-6147
Practice Address - Fax:603-882-2017
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1303295Medicaid
MA1307576Medicaid
MAM18463OtherBLUE CROSS/BLUE SHIELD
MA1303295Medicaid