Individual provider Active NPI

Jill Ryon, LCSW-A

  • Clinical Social Worker
  • Hendersonville, NC
National Provider Identifier
1306203112
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P010242 Issued in NC
Practice address
120 S Grove St
Hendersonville, NC 28792-4007
Phone
(828) 697-2660
Fax
(828) 697-2986
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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 P010242 NC Primary

Addresses

Primary practice location

120 S Grove St
Hendersonville, NC 28792-4007

Mailing address

15 Alexander CRST
Fairview, NC 28730-7756
Phone (828) 458-1342

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P010242NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1306203112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ALEXANDER CRST",
            "city": "FAIRVIEW",
            "state": "NC",
            "postal_code": "287307756",
            "telephone_number": "828-458-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S GROVE ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924007",
            "telephone_number": "828-697-2660",
            "fax_number": "828-697-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYON",
        "first_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.