Individual provider Active NPI

Tammy-Sue Catherine D'Urso, LICSW

  • Social Worker
  • Nashua, NH
National Provider Identifier
1649365263
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
925 Issued in NH
Practice address
29 Northwest Blvd
Foundation Psychiatric Associates
Nashua, NH 03063
Phone
(603) 881-9313
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 925 NH Primary

Addresses

Primary practice location

29 Northwest Blvd
Foundation Psychiatric Associates
Nashua, NH 03063

Mailing address

29 Northwest Blvd
Nashua, NH 03063-4068
Phone (603) 579-5117

Other identifiers 1

IdentifierTypeStateIssuer
30422431MedicaidNH

Other names 1

  • Tammy-Sue Catherine Blondin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20040618000546 NH Practitioner - Clinical Social Worker 9537144258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

300 Derry Rd
Hudson, NH 03051-3023
Phone (603) 886-3979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
925NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc CurrentSince Nov 10, 2003 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Nov 10, 2003 Accepting new patients

Locations

300 Derry Rd
Hudson, NH 03051
Phone (603) 579-5472

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

29 Northwest Blvd
Nashua, NH 03063
Phone (603) 577-2273

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1649365263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NORTHWEST BLVD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634068",
            "telephone_number": "603-579-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NORTHWEST BLVD",
            "address_2": "FOUNDATION PSYCHIATRIC ASSOCIATES",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03063",
            "telephone_number": "603-881-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'URSO",
        "first_name": "TAMMY-SUE",
        "middle_name": "CATHERINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NH",
            "license": "925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30422431",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY-SUE",
            "last_name": "BLONDIN",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.