Ryan Nordin, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

098362 Issued in NY

Practice address

1363 Veterans Memorial Hwy Ste 32
Hauppauge, NY 11788-3046

Phone

(631) 617-4796

NPI assigned

Nov 19, 2020

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Feel Alive Therapy LCSW P.C.

  • Clinical Social Worker
  • Hauppauge, NY
  • NPI 1265017495
  NPD (past)

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1154924272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SULLIVAN CT",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117663128",
            "telephone_number": "631-559-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 VETERANS MEMORIAL HWY STE 32",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883046",
            "telephone_number": "631-617-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDIN",
        "first_name": "RYAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-19",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York State
• Diandra Nicholas
• Jack Niemiec, RN
• James Nixon
• Deannie Noboa, M.A., CCC-SLP TSSLD
• North Shore Medical Group of Mount Sinai School of Medicine (North Shore Medical Group)
• North Shore Psychology
• Montana Len Northcutt, CNIM
• Northfield Family Medicine, P.C.
• Stephanie Natalie Nunez, MHC-LP

• Social Worker in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.