Ryley Jessica Coleman

Individual provider Active NPI Clinical Social Worker · Fremont, NH

NPI 1972497675 · NPPES record last updated Jun 6, 2025

Key facts

NPI
1972497675
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
326 Main St Unit 11
Fremont, NH 03044-3440
Phone
(603) 860-3399
NPI assigned
Jun 6, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

326 Main St Unit 11
Fremont, NH 03044-3440

Mailing address

19 Cliff Ave
Hampton, NH 03842-3650

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 6, 2025.

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1972497675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CLIFF AVE",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038423650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MAIN ST UNIT 11",
            "city": "FREMONT",
            "state": "NH",
            "postal_code": "030443440",
            "telephone_number": "603-860-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "RYLEY",
        "middle_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NH

All providers in Fremont, NH · Clinical Social Worker in New Hampshire

Sources for this page

Verify at the official NPI Registry.