Active NPI
Sarah Tirrell-Wysocki
- Clinical Social Worker
- Canterbury, NH
National Provider Identifier
1730553330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW 1093
- Practice address
- 50 Foster Rd
Canterbury, NH 03224 - Phone
- (603) 344-6661
- NPI assigned
- Nov 19, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW 1093 | NH | Primary |
Addresses
Primary practice location
50 Foster Rd
Canterbury, NH 03224
Mailing address
50 Foster Rd
Canterbury, NH 03224
Phone (603) 344-6661
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180615000538 | NH | Practitioner - Clinical Social Worker | 2769737782 | Practice locations: Concord, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
316 S Main St
Concord, NH 03301-3468
Phone (603) 344-6661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW 1093 | NH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1730553330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 FOSTER RD",
"city": "CANTERBURY",
"state": "NH",
"postal_code": "03224",
"telephone_number": "603-344-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 FOSTER RD",
"city": "CANTERBURY",
"state": "NH",
"postal_code": "03224",
"telephone_number": "603-344-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRRELL-WYSOCKI",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "LICSW 1093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canterbury, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.