Andrew David Ryan
Individual provider Active NPI Social Worker · New Bloomfield, PA
NPI 1104657576 · NPPES record last updated Aug 8, 2024
Key facts
- NPI
- 1104657576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- SW140260 (PA)
- Practice address
- 115 N Carlisle St
New Bloomfield, PA 17068-9660 - Phone
- (717) 582-2051
- NPI assigned
- Aug 8, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW140260 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresh Start Counseling Center, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW140260 | PA | Yes |
Addresses
Primary practice location
115 N Carlisle St
New Bloomfield, PA 17068-9660
Mailing address
115 N Carlisle St
New Bloomfield, PA 17068-9660
Phone (717) 582-2051
Other providers in New Bloomfield, PA
- Perry Pediatrics, P.C.
- Perry Village Facility Operations, LLC
- Premier at Perry Village for Nursing and Rehabilitation LLC
- Kinsey Lynn Robinson
- Tammy Lynne Rumbaugh
- Safe Haven Quality Care LLC
- Safe Haven Skilled Services, LLC
- Shambaugh Pediatrics Inc
- Corey Shambaugh
- Beth Shook
All providers in New Bloomfield, PA · Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.