Individual provider Active NPI

Emily Ryan, LCSW, PIP

  • Clinical Social Worker
  • Mobile, AL
National Provider Identifier
1114118148
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0773-1985C Issued in AL
Practice address
2450 Old Shell Rd Ste B
Mobile, AL 36607-3020
Phone
(251) 431-2024
NPI assigned
Aug 6, 2007
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C9861 MS
Clinical Social Worker 1041C0700X 0773-1985C AL Primary

Addresses

Primary practice location

2450 Old Shell Rd Ste B
Mobile, AL 36607-3020

Mailing address

2450 Old Shell Rd Ste B
Mobile, AL 36607-3020
Phone (251) 431-2024

Other practice location 1

1508 Government St
Ocean Springs, MS 39564-3826
Phone (228) 231-9104

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL office@ncstherapyandcoaching.com Other
Other URL office@ncstherapyandcoaching.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080115000141 AL Practitioner - Clinical Social Worker 8224119383 Reassigns benefits to 1 organization
I20250318003784 MS Practitioner - Clinical Social Worker 8224119383 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0773-1985CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Chapter Space, LLC Clinical CurrentSince Jul 1, 2024 Accepting new patients

Locations

2450 Old Shell Rd
#B
Mobile, AL 36607
Phone (251) 431-2024

1508 Government St
Ocean Springs, MS 39564
Phone (228) 231-9104

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1114118148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 OLD SHELL RD STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073020",
            "telephone_number": "251-431-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 OLD SHELL RD STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073020",
            "telephone_number": "251-431-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 Government St",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395643826",
            "country_code": "US",
            "telephone_number": "228-231-9104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "EMILY",
        "credential": "LCSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C9861",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0773-1985C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office@ncstherapyandcoaching.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2450 Old Shell Rd Ste B",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366073020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office@ncstherapyandcoaching.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1508 Government St",
            "city": "Ocean Springs",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395643826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.