Active NPI
Ryan Vega
- Clinical Social Worker
- Holyoke, MA
National Provider Identifier
1083963409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 235 Maple St
Holyoke, MA 01040-5117 - Phone
- (413) 532-0389
- Fax
- (413) 532-1548
- NPI assigned
- Aug 30, 2012
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
235 Maple St
Holyoke, MA 01040-5117
Mailing address
417 Carew St
Springfield, MA 01104-2306
Phone (413) 289-4869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300881 | Medicaid | MA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Network, Inc | Past | Accepting new patients | |
| Phoenix House | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Methadone Clinic
- Springfield, MA
- NPI 1669017653
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Springfield, MA
- NPI 1982929592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1083963409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 CAREW ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042306",
"telephone_number": "413-289-4869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 MAPLE ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010405117",
"telephone_number": "413-532-0389",
"fax_number": "413-532-1548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2025-04-29",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300881",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.