Andrea Ryan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106038 Issued in MI

Practice address

809 S Clinton Ave
St. Johns, MI 48879

Phone

(989) 640-7610

NPI assigned

Jan 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Garcia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mission to Thrive LLC

  • Community/Behavioral Health Agency
  • Dewitt, MI
  • NPI 1184357196
  NPD Authorized official

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

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612051200000",
    "number": "1003407263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S CLINTON AVE",
            "city": "ST. JOHNS",
            "state": "MI",
            "postal_code": "48879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S CLINTON AVE",
            "city": "ST. JOHNS",
            "state": "MI",
            "postal_code": "48879",
            "telephone_number": "989-640-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GARCIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle E Rodewald, PHARMD
• Lois M Rodgers, P.T.
• Robert Rodway, DNP
• Stacie Rulison, BCBA, LBA
• Malerie Lynn Russell, LLMSW
• Austin Schafer
• Rachel Lynn Schafer, OTRL
• Tiffany Marie Schepler, M.S.P.T.
• Joshua Daniel Schmitt, DPT
• Stephanie Schmitt, NP-C

• Clinical Social Worker in St. Johns, MI
• Providers in St. Johns, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.