Individual provider Active NPI

Bonnie P Ryan, LISW-S

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1063872729
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1440363. SUPV Issued in OH
Practice address
455 E Mound St
Columbus, OH 43215-5595
Phone
(614) 242-1284
Fax
(614) 242-1285
NPI assigned
Feb 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1440363. SUPV OH Primary

Addresses

Primary practice location

455 E Mound St
Columbus, OH 43215-5595

Mailing address

455 E Mound St
Columbus, OH 43215-5595
Phone (614) 242-1284

Other practice location 1

1515 Indianola Ave
Columbus, OH 43201-2118
Phone (614) 294-2661 ext. 2599

Other practice location 2

1515 Indianola Ave
Columbus, OH 43201-2118
Phone (614) 294-2661 ext. 2599

Other names 1

  • Bonnie P Schwartz Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.1440363. SUPVOHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1063872729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E MOUND ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155595",
            "telephone_number": "614-242-1284",
            "fax_number": "614-242-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E MOUND ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155595",
            "telephone_number": "614-242-1284",
            "fax_number": "614-242-1285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Indianola Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432012118",
            "country_code": "US",
            "telephone_number": "614-294-2661 x2599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Indianola Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432012118",
            "country_code": "US",
            "telephone_number": "614-294-2661 x2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "BONNIE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1440363. SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "SCHWARTZ",
            "middle_name": "P",
            "credential": "LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.