Ryan Wallerius

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1600647 Issued in OH

Practice address

4800 Scothills Dr
Englewood, OH 45322-3523

Phone

(937) 520-4942

NPI assigned

Oct 12, 2016

Last updated

Oct 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Confluence Counseling LLC

  • Clinical Social Worker
  • Englewood, OH
  • NPI 1558805960
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1356891584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SCOTHILLS DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453223523",
            "telephone_number": "937-520-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SCOTHILLS DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453223523",
            "telephone_number": "937-520-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLERIUS",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1600647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Vitangeli
• Louis J Vitangeli, DDS
• Meghan Vo, H.A.S.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5409)
• Walgreen Co (Walgreens #12832)
• Catlyn Waltemire
• Colin B Walthour, DPT
• Jennifer Sue Warner
• David P Warren, LPN
• Christina Elizabeth Washington

• Clinical Social Worker in Englewood, OH
• Providers in Englewood, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.