Active NPI
Ryan P Nelson, L.L.M.S.W.
- Clinical Social Worker
- Monroe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801088006
- Practice address
- 14930 Laplaisance Rd
Suite 123
Monroe, MI 48161-3880 - Phone
- (734) 240-3850
- Fax
- (734) 240-3863
- NPI assigned
- Apr 16, 2008
- Last updated
- Apr 29, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 6801088006 | MI | Primary |
Addresses
Primary practice location
14930 Laplaisance Rd
Suite 123
Monroe, MI 48161-3880
Mailing address
14930 Laplaisance Rd
Suite 123
Monroe, MI 48161-3880
Phone (734) 240-3850
Other practice location 1
730 N Macomb St Ste 200
Monroe, MI 48162-2904
Phone (734) 240-1760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801088006 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimensions of Wellness, Inc., a Nonprofit Corporation | Current | Accepting new patients | |
| United States Catholic Conference | Past | Accepting new patients | |
| United States Catholic Conference | Past | Accepting new patients |
Locations
17461 Allen Rd
Melvindale, MI 48122
Phone (313) 364-9042
2250 N Monroe St
Monroe, MI 48162
Phone (313) 920-8771
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Melvindale, MI
- NPI 1942840731
-
dba Catholic Charities of Monroe County
- Voluntary or Charitable Agency
- Monroe, MI
- NPI 1619091469
-
dba Catholic Charities of Monroe County
- Community/Behavioral Health Agency
- Monroe, MI
- NPI 1881999696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1316111735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14930 LAPLAISANCE RD",
"address_2": "SUITE 123",
"city": "MONROE",
"state": "MI",
"postal_code": "481613880",
"telephone_number": "734-240-3850",
"fax_number": "734-240-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14930 LAPLAISANCE RD",
"address_2": "SUITE 123",
"city": "MONROE",
"state": "MI",
"postal_code": "481613880",
"telephone_number": "734-240-3850",
"fax_number": "734-240-3863"
}
],
"practiceLocations": [
{
"address_1": "730 N Macomb St Ste 200",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "MI",
"postal_code": "481622904",
"country_code": "US",
"telephone_number": "734-240-1760",
"fax_number": "734-240-1763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "RYAN",
"middle_name": "P",
"credential": "L.L.M.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-16",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801088006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
- Sina Navazi, DO
- Emily Neal, DPT
- Neighborhood Counseling Services Corporation (Neighborhood Counseling Serivices Corporation)
- Neighborhood Health Services L.L.C
- Audrey Nelson
- Nes Michigan, Inc.
- Anne Scott Nesbitt-Prosser, MS, CCC-SLP
- New Direction Peer Recovery Center
- Signe Newcomb, MA, LLPC
- Melissa Newman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.