Individual provider Active NPI

Kelsey Ryckman, M.ED

  • Clinical Social Worker
  • Ashland, NH
National Provider Identifier
1598390163
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3042 Issued in NH
Practice address
23 West St # 3
Ashland, NH 03217-4219
Phone
(603) 968-7452
Fax
(603) 968-7455
NPI assigned
Mar 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 3042 NH Primary
Behavior Analyst 103K00000X 1-20-41003 NH

Addresses

Primary practice location

23 West St # 3
Ashland, NH 03217-4219

Mailing address

PO Box 1150
Ashland, NH 03217-1150
Phone (603) 968-7452

Other practice location 1

406 The Hl
Portsmouth, NH 03801-3736
Phone (603) 531-8811

Other identifiers 1

IdentifierTypeStateIssuer
1-20-41003OtherNHBCBA LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kyelle@wjwservices.com
Direct Messaging Address cwhite@wjwservices.com

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)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
William J. White Education and Behavioral Consulting Services, Inc. Behavior Analyst PastSince Mar 9, 2020 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": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1598390163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "ASHLAND",
            "state": "NH",
            "postal_code": "032171150",
            "telephone_number": "603-968-7452",
            "fax_number": "603-968-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WEST ST # 3",
            "city": "ASHLAND",
            "state": "NH",
            "postal_code": "032174219",
            "telephone_number": "603-968-7452",
            "fax_number": "603-968-7455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 The Hl",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038013736",
            "country_code": "US",
            "telephone_number": "603-531-8811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYCKMAN",
        "first_name": "KELSEY",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "3042",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NH",
            "license": "1-20-41003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA LICENSE",
            "identifier": "1-20-41003",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyelle@wjwservices.com",
            "affiliation": "N",
            "address_1": "23 West St # 3",
            "city": "Ashland",
            "state": "NH",
            "country_code": "US",
            "postal_code": "032174219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwhite@wjwservices.com",
            "affiliation": "N",
            "address_1": "23 West St # 3",
            "city": "Ashland",
            "state": "NH",
            "country_code": "US",
            "postal_code": "032174219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.