Active NPI
Ryan Andrew McNamara, LCSW
- Clinical Social Worker
- Coppell, TX
National Provider Identifier
1316716053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104566
- Practice address
- 2279 Sage Hill LN Apt 12207
Coppell, TX 75019-6180 - Phone
- (469) 345-4569
- NPI assigned
- Dec 21, 2023
- Sex
- Male
- 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 | 104566 | TX | Primary |
Addresses
Primary practice location
2279 Sage Hill LN Apt 12207
Coppell, TX 75019-6180
Mailing address
2279 Sage Hill LN Apt 12207
Coppell, TX 75019-6180
Phone (469) 345-4569
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104566 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Therapeutic Services PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1316716053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2279 SAGE HILL LN APT 12207",
"city": "COPPELL",
"state": "TX",
"postal_code": "750196180",
"telephone_number": "469-345-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2279 SAGE HILL LN APT 12207",
"city": "COPPELL",
"state": "TX",
"postal_code": "750196180",
"telephone_number": "469-345-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "RYAN",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-21",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "104566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.