Active NPI
Deborah Ryan, LCSW
- Clinical Social Worker
- Yonkers, NY
National Provider Identifier
1265583090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R051934-1
- Practice address
- 711 Yonkers Ave
Yonkers, NY 10704-2657 - Phone
- (914) 588-6003
- NPI assigned
- Jan 16, 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 | R051934-1 | NY | Primary |
Addresses
Primary practice location
711 Yonkers Ave
Yonkers, NY 10704-2657
Mailing address
711 Yonkers Ave
Yonkers, NY 10704-2657
Phone (914) 588-6003
Other practice location 1
620 N Broadway Ste 1R
White Plains, NY 10603-2411
Phone (914) 588-6003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090902000077 | NY | Practitioner - Clinical Social Worker | 4789739483 | Practice locations: White Plains, NY; Yonkers, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R051934-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah Ryan | Current | Accepting new patients | |
| The Mental Health Association of Westchester County, Inc. | Clinical | Past | Accepting new patients |
| Steven Blauner PLLC | Clinical | Past | Accepting new patients |
| The Mental Health Association of Westchester County - Social Care Network | Past | Accepting new patients |
Locations
620 N Broadway
Ste 1R
White Plains, NY 10603
Phone (914) 588-6003
711 Yonkers Ave
Yonkers, NY 10704
Phone (914) 588-6003
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1265209563
-
- Case Manager/Care Coordinator
- Tarrytown, NY
- NPI 1760320659
-
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1942306873
Clinical
-
- Clinical Social Worker
- Weston, CT
- NPI 1164159372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711756800000",
"number": "1265583090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 YONKERS AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107042657",
"telephone_number": "914-588-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 YONKERS AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107042657",
"telephone_number": "914-588-6003"
}
],
"practiceLocations": [
{
"address_1": "620 N Broadway Ste 1R",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106032411",
"country_code": "US",
"telephone_number": "914-588-6003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "DEBORAH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2024-03-30",
"certification_date": "2024-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R051934-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.