Individual provider Active NPI

Hannah M. Ritteman, LCSW

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1982048351
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1535 42ND St S
Fargo, ND 58103-3383
Phone
(701) 715-3183
Fax
(701) 540-0098
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Social Worker 104100000X 5047 ND
Case Manager/Care Coordinator 171M00000X 5047 ND
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1535 42ND St S
Fargo, ND 58103-3383

Mailing address

1535 42ND St S
Fargo, ND 58103-3383
Phone (701) 715-3183

Other practice location 1

524 4th Ave NE
#19
Devils Lake, ND 58301-2490
Phone (701) 662-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20200922001524 ND Practitioner - Clinical Social Worker 6901224054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creative Spirit Counseling PLLCGroup PAC ID 8527492966, 4 clinicians

Practice addresses (Care Compare)

4675 40TH Ave S
Suite 120
Fargo, ND 58104-4444
Phone (701) 715-8567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5047NDMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Spirit Counseling, PLLC Clinical CurrentSince Sep 1, 2020 Accepting new patients
County of Ramsey Past Accepting new patients

Locations

1535 42nd St S
Fargo, ND 58103
Phone (701) 235-3937

4675 40th Ave S
Ste 120
Fargo, ND 58104
Phone (701) 715-3183

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": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1982048351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 42ND ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033383",
            "telephone_number": "701-715-3183",
            "fax_number": "701-540-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 42ND ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033383",
            "telephone_number": "701-715-3183",
            "fax_number": "701-540-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 4th Ave NE",
            "address_2": "#19",
            "address_purpose": "LOCATION",
            "city": "Devils Lake",
            "state": "ND",
            "postal_code": "583012490",
            "country_code": "US",
            "telephone_number": "701-662-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RITTEMAN",
        "first_name": "HANNAH",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5047",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": "5047",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.