Active NPI
Linda Ryan, LCSW
- Clinical Social Worker
- West Harrison, NY
National Provider Identifier
1104222975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 093175-01
- Practice address
- 105 Corporate Park Dr
#3050
West Harrison, NY 10604-3331 - Phone
- (914) 873-1087
- NPI assigned
- Nov 6, 2014
- Last updated
- Dec 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 093175-01 | NY | Primary |
Addresses
Primary practice location
105 Corporate Park Dr
#3050
West Harrison, NY 10604-3331
Mailing address
105 Corporate Park Dr Apt 3050
West Harrison, NY 10604-3331
Phone (914) 873-1087
Other practice location 1
343 Manville Rd Ste 3U
Pleasantville, NY 10570-2153
Phone (914) 873-1087
Other practice location 2
1156 N Broadway
Yonkers, NY 10701-1108
Phone (914) 965-3700 ext. 1295
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WVE061 | Other | NY | MEDICARE # |
| 02449154 | Other | NY | MEDICAID # |
| 1285628552 | Other | NY | AGENCY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 093175-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1104222975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CORPORATE PARK DR APT 3050",
"city": "WEST HARRISON",
"state": "NY",
"postal_code": "106043331",
"telephone_number": "914-873-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 CORPORATE PARK DR",
"address_2": "#3050",
"city": "WEST HARRISON",
"state": "NY",
"postal_code": "106043331",
"telephone_number": "914-873-1087"
}
],
"practiceLocations": [
{
"address_1": "343 Manville Rd Ste 3U",
"address_purpose": "LOCATION",
"city": "Pleasantville",
"state": "NY",
"postal_code": "105702153",
"country_code": "US",
"telephone_number": "914-873-1087",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1156 N Broadway",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107011108",
"country_code": "US",
"telephone_number": "914-965-3700 x1295",
"fax_number": "914-798-5549",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "LINDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2023-12-29",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "093175-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE #",
"identifier": "WVE061",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID #",
"identifier": "02449154",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY",
"identifier": "1285628552",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Harrison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.