Individual provider Active NPI

Therese Hadden, LCSW

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1407279557
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801057614 Issued in MI
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

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
39045OtherTXLICENSED CLINICAL SOCIAL WORKER
6801057614OtherMICLINICAL AND MACRO LICENSE

Other names 1

  • Ms. Therese Ann Ruane Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806004515 OR Practitioner - Clinical Social Worker 4385906668 Reassigns benefits to 3 organizations

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
Shoreline Counseling LLCGroup PAC ID 4587985049, 26 clinicians
Sokyahealth Medical Group PCGroup PAC ID 9739575648, 68 clinicians

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

LicenseStateTypeSpecialty
6801057614MIMDClinical Social Worker
39045TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC Clinical CurrentSince Oct 21, 2024 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince May 9, 2024 Accepting new patients
Northwest Medical Foundation of Tillamook Current Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince May 9, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.