Sarah Ryan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW23810 Issued in FL

Practice address

4247 Mayfair LN
Port Orange, FL 32129-7510

Phone

(386) 451-4734

NPI assigned

Nov 11, 2024

Last updated

Nov 11, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1235953852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 MAYFAIR LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321297510",
            "telephone_number": "386-451-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 MAYFAIR LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321297510",
            "telephone_number": "386-451-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell S. Humphries, D.C.
• Susan Ruxton, FNP-C
• RX Healthcare System LLC (Community Pharmacy of Port Orange)
• RX Healthcare System LLC (Community Pharmacy of port orange)
• Danielle Marie Ryan, PHARMD
• Hilary Rzadca
• Marwan Mohammad Saad Eddin
• Hayden Sadowsky, D.C.
• Farhad Safi, M.D.
• Marianne Sahr

• Clinical Social Worker in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.