Individual provider Active NPI

Ivysue Hranac, MSW

  • Clinical Social Worker
  • Rochester, NH
National Provider Identifier
1427388412
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60842736 Issued in WA
Practice address
60 Hanson St Unit 2
Rochester, NH 03867-2720
Phone
(603) 750-3246
NPI assigned
Jan 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CG60829279 WA
Clinical Social Worker 1041C0700X 2922 NH
Clinical Social Worker 1041C0700X 1923 NH
Clinical Social Worker 1041C0700X LW60842736 WA Primary

Addresses

Primary practice location

60 Hanson St Unit 2
Rochester, NH 03867-2720

Mailing address

60 Hanson St Unit 2
Rochester, NH 03867-2720
Phone (603) 750-3246

Other identifiers 1

IdentifierTypeStateIssuer
2114202MedicaidWA

Other names 1

  • Mrs. Ivysue Richardson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CG60829279WAMDCounselor
1923NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A Meaningful Journey PLLC Clinical CurrentSince Mar 19, 2023 Accepting new patients
Acrs, Inc Past Accepting new patients

Locations

60 Hanson St
Unit 2
Rochester, NH 03867
Phone (603) 750-3246

Organizations & group practices 2

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": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1427388412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HANSON ST UNIT 2",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038672720",
            "telephone_number": "603-750-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HANSON ST UNIT 2",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038672720",
            "telephone_number": "603-750-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRANAC",
        "first_name": "IVYSUE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60829279",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2922",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1923",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60842736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114202",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVYSUE",
            "last_name": "RICHARDSON",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.