Active NPI
Tressa Renee Ryan, MSW, LICSW
- Clinical Social Worker
- Dover, NH
National Provider Identifier
1891736211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- NH819
- Practice address
- 680 Central Ave Ste 103
Dover, NH 03820-3495 - Phone
- (603) 964-1700
- Fax
- (603) 749-7502
- NPI assigned
- Jun 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 126906 | MA | |
| Clinical Social Worker | 1041C0700X | NH819 | NH | Primary |
Addresses
Primary practice location
680 Central Ave Ste 103
Dover, NH 03820-3495
Mailing address
165 Deer Hill Rd
Brentwood, NH 03833-6600
Phone (603) 964-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6555415 | Other | NH | BCBS NH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CAREPATHS.COM | Direct |
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 |
|---|---|---|---|---|
| I20051223000230 | NH | Practitioner - Clinical Social Worker | 1456373067 | Practice locations: Dover, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
680 Central Ave
Suite 103
Dover, NH 03820-3495
Phone (603) 964-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NH819 | NH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Counseling Center, PLLC | Past | 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.
-
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- North Hampton, NH
- NPI 1992850754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1891736211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 DEER HILL RD",
"city": "BRENTWOOD",
"state": "NH",
"postal_code": "038336600",
"telephone_number": "603-964-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 CENTRAL AVE STE 103",
"city": "DOVER",
"state": "NH",
"postal_code": "038203495",
"telephone_number": "603-964-1700",
"fax_number": "603-749-7502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "TRESSA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "126906",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "NH819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NH",
"identifier": "6555415",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CAREPATHS.COM",
"affiliation": "N",
"endpointDescription": "Carepaths EHR Software",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "680 Central Ave Ste 103",
"city": "Dover",
"state": "NH",
"country_code": "US",
"postal_code": "038203495",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.