Active NPI
Therese Hadden, LCSW
- Clinical Social Worker
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801057614
- Practice address
- 2489 Ricker Road
El Paso, TX 79920 - Phone
- (915) 742-4781
- Fax
- (915) 742-3482
- NPI assigned
- Jan 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 39045 | TX | |
| Clinical Social Worker | 1041C0700X | 6801057614 | MI | Primary |
Addresses
Primary practice location
2489 Ricker Road
El Paso, TX 79920
Mailing address
2489 Ricker Road
Fort Bliss
El Paso, TX 79920
Phone (915) 742-4781
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39045 | Other | TX | LICENSED CLINICAL SOCIAL WORKER |
| 6801057614 | Other | MI | CLINICAL AND MACRO LICENSE |
Other names 1
- Ms. Therese Ann Ruane
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Pier
1 Suite 204
Astoria, OR 97103-6328
Phone (503) 789-6850
8555 SW Apple Way
Suite 320
Portland, OR 97225-1775
Phone (877) 840-6956
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801057614 | MI | MD | Clinical Social Worker |
| 39045 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sokyahealth Medical Group PC | Clinical | Current | Accepting new patients |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients |
Locations
700 NE Multnomah St
Ste 870
Portland, OR 97232
Phone (503) 238-5559
8555 SW Apple Way
Ste 320
Portland, OR 97225
Phone (503) 298-4592
1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129
1100 3rd St
Tillamook, OR 97141
Phone (503) 815-2116
1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260
Interoperability endpoints
- therese.hadden.p1@direct.sokya.nextgenshare.com
Organizations & group practices 5
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.
-
- Clinical Social Worker
- Astoria, OR
- NPI 1437548807
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1871575225
-
- Critical Access Hospital
- Sheridan, OR
- NPI 1053873919
-
- Rural Health Clinic/Center
- Estacada, OR
- NPI 1609328301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1407279557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2489 RICKER ROAD",
"address_2": "FORT BLISS",
"city": "EL PASO",
"state": "TX",
"postal_code": "79920",
"telephone_number": "915-742-4781",
"fax_number": "915-742-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2489 RICKER ROAD",
"city": "EL PASO",
"state": "TX",
"postal_code": "79920",
"telephone_number": "915-742-4781",
"fax_number": "915-742-3482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDEN",
"first_name": "THERESE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "39045",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801057614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "39045",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL AND MACRO LICENSE",
"identifier": "6801057614",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESE",
"last_name": "RUANE",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.