Tracy Mitchell Thompson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1778 Issued in NH

Practice address

2274 Mount Moosilauke Hwy
Pike, NH 03780-5615

Phone

(603) 989-3500

Fax

(603) 989-3169

NPI assigned

Jun 1, 2009

Last updated

Oct 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Little Rivers Health Care, Inc.Group PAC ID 8224031497, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracy.thompson@lrhc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Rivers Health Care, Inc.

  • Primary Care Clinic/Center
  • Bradford, VT
  • NPI 1033163555
  Medicare reassignment Care Compare group NPD
• Little Rivers Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Corinth, VT
  • NPI 1962161745
  NPD
• Moosilauke Visions, Inc.

  dba Moosilauke Counseling Solultions

  • Social Worker
  • Hanover, NH
  • NPI 1760727978
  NPD (past)
• Little Rivers Health Care, Inc.

  dba Little Rivers Health Care

  • Federally Qualified Health Center (FQHC)
  • Newbury, VT
  • NPI 1376119966
  NPD (past)
• Little Rivers Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wells River, VT
  • NPI 1861640161
  NPD (past)
• Little Rivers Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Corinth, VT
  • NPI 1972751279
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1801022132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "HAVERHILL",
            "state": "NH",
            "postal_code": "037650175",
            "telephone_number": "603-989-3500",
            "fax_number": "603-989-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 MOUNT MOOSILAUKE HWY",
            "city": "PIKE",
            "state": "NH",
            "postal_code": "037805615",
            "telephone_number": "603-989-3500",
            "fax_number": "603-989-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TRACY",
        "middle_name": "MITCHELL",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19021",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0091985",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Licht, RPH
• Pike School, Inc
• Bryan J Randolph, LICSW
• Jodi R Wood, RPH

• Clinical Social Worker in Pike, NH
• Providers in Pike, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.

Verify at the official NPI Registry.