Individual provider Active NPI

Sheila A Bryan, LICSW

  • Clinical Social Worker
  • Salem, NH
National Provider Identifier
1346347135
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1515 Issued in NH
Practice address
5 Hampshire St
Unit 4a
Salem, NH 03079-6400
Phone
(603) 785-2948
Fax
(603) 218-6295
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1515 NH Primary

Addresses

Primary practice location

5 Hampshire St
Unit 4a
Salem, NH 03079-6400

Mailing address

5 Hampshire St Ste 3
Salem, NH 03079-6400
Phone (603) 785-2948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102000083 NH Practitioner - Clinical Social Worker 5698737658 Practice locations: Salem, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Hampshire St
Unit 4a
Salem, NH 03079-6400
Phone (603) 785-2948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7282SCMDMental Health Counselor
1515NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
James J Foster & Associates, LTD Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1346347135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HAMPSHIRE ST STE 3",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030796400",
            "telephone_number": "603-785-2948",
            "fax_number": "603-218-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HAMPSHIRE ST",
            "address_2": "UNIT 4A",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030796400",
            "telephone_number": "603-785-2948",
            "fax_number": "603-218-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "SHEILA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.