Active NPI
Kathryn Marie Ryan, LMSW
- Social Worker
- Staten Island, NY
National Provider Identifier
1083946131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 080531
- Practice address
- 1688 Victory Blvd
Staten Island, NY 10314-3533 - Phone
- (718) 447-5700
- NPI assigned
- Jan 31, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 080531 | NY | Primary |
Addresses
Primary practice location
1688 Victory Blvd
Staten Island, NY 10314-3533
Mailing address
1688 Victory Blvd
Staten Island, NY 10314-3533
Phone (718) 447-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080531 | Other | NY | LMSW |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 080531 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264896000000",
"number": "1083946131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1688 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143533",
"telephone_number": "718-447-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1688 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143533",
"telephone_number": "718-447-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "KATHRYN",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-31",
"last_updated": "2010-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "080531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW",
"identifier": "080531",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.