Individual provider Active NPI

Ryann Anderson, LCSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1285005652
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090426-01 Issued in NY
Practice address
608 William St
Buffalo, NY 14206-1649
Phone
(716) 895-6700
Fax
(716) 893-0070
NPI assigned
Oct 12, 2015
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 090426-01 NY Primary

Addresses

Primary practice location

608 William St
Buffalo, NY 14206-1649

Mailing address

3796 Broadway St
Cheektowaga, NY 14227-1123

Other practice location 1

3796 Broadway St
Cheektowaga, NY 14227-1123
Phone (716) 220-8876

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201229001726 NY Practitioner - Clinical Social Worker 1557774122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Erie Mental Health Services IncGroup PAC ID 5496707945, 33 clinicians

Practice addresses (Care Compare)

1526 Walden Ave
Suite 400
Cheektowaga, NY 14225-4985
Phone (716) 895-7167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090426-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Erie Mental Health Services Inc Social Worker CurrentSince Nov 30, 2020 Accepting new patients
Nicholas H. Noyes Memorial Hospital PastSince Jul 1, 2022 Accepting new patients

Locations

463 William St
Buffalo, NY 14204
Phone (716) 852-0383

1526 Walden Ave
Ste 400
Cheektowaga, NY 14225
Phone (716) 895-7167

Organizations & group practices 2

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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1285005652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3796 BROADWAY ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WILLIAM ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142061649",
            "telephone_number": "716-895-6700",
            "fax_number": "716-893-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3796 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Cheektowaga",
            "state": "NY",
            "postal_code": "142271123",
            "country_code": "US",
            "telephone_number": "716-220-8876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RYANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090426-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.