Individual provider Active NPI

Ryan Caleb Thomason, LSW

  • Social Worker
  • Rocky River, OH
National Provider Identifier
1053911792
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2309641 Issued in OH
Practice address
20525 Center Ridge Rd Ste 403
Rocky River, OH 44116-3401
Phone
(866) 466-9591
NPI assigned
Oct 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2309641 OH Primary

Addresses

Primary practice location

20525 Center Ridge Rd Ste 403
Rocky River, OH 44116-3401

Mailing address

20525 Center Ridge Rd Ste 403
Rocky River, OH 44116-3401
Phone (866) 466-9591

Other practice location 1

1211 S Green Rd
South Euclid, OH 44121-3915
Phone (706) 459-7594

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2309641OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services of Greater Cleveland CurrentSince Oct 22, 2023 Accepting new patients

Locations

20525 Center Ridge Rd
Ste 403
Rocky River, OH 44116
Phone (216) 456-5510

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.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1053911792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD STE 403",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163401",
            "telephone_number": "866-466-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD STE 403",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163401",
            "telephone_number": "866-466-9591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 S Green Rd",
            "address_purpose": "LOCATION",
            "city": "South Euclid",
            "state": "OH",
            "postal_code": "441213915",
            "country_code": "US",
            "telephone_number": "706-459-7594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMASON",
        "first_name": "RYAN",
        "middle_name": "CALEB",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2309641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.