Individual provider Active NPI

Stanley Rynott, LCSW

  • Clinical Social Worker
  • Broussard, LA
National Provider Identifier
1215674908
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3215 Issued in LA
Practice address
4027 Highway 90 E
Broussard, LA 70518-3509
Phone
(337) 837-7174
Fax
(337) 837-7176
NPI assigned
May 16, 2022
Last updated
May 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3215 LA Primary

Addresses

Primary practice location

4027 Highway 90 E
Broussard, LA 70518-3509

Mailing address

4027 Highway 90 E
Broussard, LA 70518-3509
Phone (337) 837-7174

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3215LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Virgil Bryant Management PastSince May 10, 2022 Accepting new patients

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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1215674908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 HIGHWAY 90 E",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705183509",
            "telephone_number": "337-837-7174",
            "fax_number": "337-837-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 HIGHWAY 90 E",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705183509",
            "telephone_number": "337-837-7174",
            "fax_number": "337-837-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNOTT",
        "first_name": "STANLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords",
            "affiliation": "N",
            "address_1": "4027 Highway 90 E",
            "city": "Broussard",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705183509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broussard, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.