Active NPI
Emily Katherine Ryan, LCSW
- Clinical Social Worker
- Folsom, CA
National Provider Identifier
1164605754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 24230
- Practice address
- Department of Mental Health
2155 Iron Point Rd
Folsom, CA 95630 - Phone
- (916) 817-5629
- Fax
- (916) 817-5610
- NPI assigned
- Dec 6, 2007
- Last updated
- Dec 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 24230 | CA | Primary |
Addresses
Primary practice location
Department of Mental Health
2155 Iron Point Rd
Folsom, CA 95630
Mailing address
Department of Mental Health
2155 Iron Point Rd
Folsom, CA 95630
Phone (916) 817-5629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 24230 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1164605754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT OF MENTAL HEALTH",
"address_2": "2155 IRON POINT RD",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "916-817-5629",
"fax_number": "916-817-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF MENTAL HEALTH",
"address_2": "2155 IRON POINT RD",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "916-817-5629",
"fax_number": "916-817-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "EMILY",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-06",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 24230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.