Individual provider Active NPI

Ryan Matthew Ware, LCSW

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1083112478
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20734 Issued in FL
Practice address
1090 S Tamiami TRL
Sarasota, FL 34236-9116
Phone
(941) 363-0878
Fax
(716) 242-3360
NPI assigned
Jan 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1901840 OH
Clinical Social Worker 1041C0700X SW20734 FL Primary

Addresses

Primary practice location

1090 S Tamiami TRL
Sarasota, FL 34236-9116

Mailing address

1301 N High St
Columbus, OH 43201-2460
Phone (614) 299-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191212002537 OH Practitioner - Clinical Social Worker 7517390115 Reassigns benefits to 2 organizations
I20230602000356 FL Practitioner - Clinical Social Worker 7517390115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of North Carolina PCGroup PAC ID 5092120030, 175 clinicians

Practice addresses (Care Compare)

1090 S Tamiami TRL
Sarasota, FL 34236-9116
Phone (941) 363-0878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW20734FLMDClinical Social Worker
I.1901840OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Mental Health Services, Inc. CurrentSince Oct 9, 2019 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. Clinical CurrentSince Jul 1, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, PC CurrentSince Jul 1, 2024 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Jul 1, 2021 Accepting new patients

Locations

6320 Venture Dr
Ste 203
Lakewood Ranch, FL 34202
Phone (941) 346-6464

18900 N Tamiami Trl
Ste 9
North Ft Myers, FL 33903
Phone (239) 561-2202

1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005

4700 N Habana Ave
Ste 703
Tampa, FL 33614
Phone (813) 678-2373

1301 N High St
Columbus, OH 43201
Phone (614) 299-6600

2 Easton Oval
Ste 115
Columbus, OH 43219
Phone (614) 934-6890

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

Organizations & group practices 4

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": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1083112478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012460",
            "telephone_number": "614-299-6600",
            "fax_number": "614-227-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342369116",
            "telephone_number": "941-363-0878",
            "fax_number": "716-242-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901840",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.