Omega Geriatrics Co. Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-12084 Issued in AZ

Legal business name

OMEGA GERIATRICS CO. INC

Practice address

55 Kaibab Way
Sedona, AZ 86351-7335

Phone

(928) 300-4362

Fax

(928) 284-1721

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Jean Ryba, LCSW

Title

LCSW

Phone

(928) 300-4362

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1104839752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 KAIBAB WAY",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863517335",
            "telephone_number": "928-300-4362",
            "fax_number": "928-284-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 KAIBAB WAY",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863517335",
            "telephone_number": "928-300-4362",
            "fax_number": "928-284-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA GERIATRICS CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "RYBA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "928-300-4362",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.