Minou Rysiew, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003390 Issued in GA

Practice address

1551 Jennings Mill Rd Unit 3200a
Resource Valley
Watkinsville, GA 30677-7282

Phone

(706) 207-6611

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clarity Counseling, LLC

  • Clinical Social Worker
  • Watkinsville, GA
  • NPI 1689867509
  NPD Authorized official

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1154472413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 MAPLE FORGE DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061166",
            "telephone_number": "706-207-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 JENNINGS MILL RD UNIT 3200A",
            "address_2": "RESOURCE VALLEY",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777282",
            "telephone_number": "706-207-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYSIEW",
        "first_name": "MINOU",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "934296907A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Reeves Rosene, MS
• Anaiah Rucker, RBT
• Martha E Rumsey, LCSW
• Zachary Russell, ATC, LAT, CSCS, OTC
• Audrey Russo, FNP-C
• Pimchanok Saardphothong, RBT
• Aliya Safwan, MD
• David Mathis Sailors, MD
• Amelia Sale
• Samuel S Kwon - Athens DMD PC

• Clinical Social Worker in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.