Active NPI
Rita Ryan Ryan, LCSW
- Clinical Social Worker
- Lake Wales, FL
National Provider Identifier
1356544654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW5755
- Practice address
- 555 Burns Ave
Lake Wales, FL 33853-3335 - Phone
- (863) 679-3338
- Fax
- (863) 298-0299
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- 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 | SW5755 | FL | Primary |
Addresses
Primary practice location
555 Burns Ave
Lake Wales, FL 33853-3335
Mailing address
555 Burns Ave
Lake Wales, FL 33853-3335
Phone (863) 679-3338
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW5755 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Children'S Academy | Past | Accepting new patients | |
| Winter Haven Hospital Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Lake Wales, FL
- NPI 1538384698
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1356544654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 BURNS AVE",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338533335",
"telephone_number": "863-679-3338",
"fax_number": "863-298-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 BURNS AVE",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338533335",
"telephone_number": "863-679-3338",
"fax_number": "863-298-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "RITA",
"middle_name": "RYAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW5755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Wales, FL
- Roy Z Braunstein MD PA
- Royal Palm Orthopedic & Sports Medicine Institute LLC
- Royal Palm Orthopedic Sports & Spine Institute, LLC
- Royal Palm Orthopedics Sports Medicine and Institute
- Luis E Ruiz Velez
- Vanessa M Salazar
- Eusebio Guerrero Salud Jr., M.D.
- San'S Loving Hands, LLC.
- Chiquita C Sapp
- Jorge Eliecer Sara Ochoa, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.