Mary Diane Tryan, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801079906 Issued in MI

Practice address

1100 Ludington St
Ste 401
Escanaba, MI 49829-3542

Phone

(906) 786-7212

Fax

(906) 786-0676

NPI assigned

Jul 10, 2006

Last updated

Sep 28, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Catholic Social Services of the UpGroup PAC ID 7012999865, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Catholic Social Services of the U.P.

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1619907052
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1386678084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LUDINGTON ST",
            "address_2": "STE 401",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293542",
            "telephone_number": "906-786-7212",
            "fax_number": "906-786-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LUDINGTON ST",
            "address_2": "STE 401",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293542",
            "telephone_number": "906-786-7212",
            "fax_number": "906-786-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYAN",
        "first_name": "MARY",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801079906",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801079906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Elizabeth Thompson, LLMSW
• Miranda Thompson, ABOC, NCLEC, FL LDO
• Nathyn A Thompson
• Patricia Ann Tighe
• Mary Lee Tobin-Anderson, MD
• Georgena E Turner, OT
• U P Otolaryngology PC
• Perry Charles Uhazie, DDS
• Up Bras That Fit Inc
• Up Optometry

• Clinical Social Worker in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.