Jane K Ryan, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801064046 Issued in MI

Practice address

22708 Harper Ave
Saint Clair Shores, MI 48080-1823

Phone

(586) 445-2210

Fax

(586) 445-0700

NPI assigned

Sep 21, 2006

Last updated

Feb 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jane K Bond Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1073612891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28000 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922468",
            "telephone_number": "586-753-0405",
            "fax_number": "586-753-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22708 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801823",
            "telephone_number": "586-445-2210",
            "fax_number": "586-445-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JANE",
        "middle_name": "K",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801064046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "BOND",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurie Jean Rudnick, M.D.
• Rudy J Vervaeke MD PLC
• Marla Kay Ruhana, LMSW
• Chelsea Rumohr
• Carey Ryan, PT
• John A Ryan, PH.D.
• Mistie D Ryan
• Miranda Rysiewicz, PT, DPT
• Richard T Saady, LMT
• Davis Brian Sabo

• Clinical Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, 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 Feb 12, 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.