Active NPI
James Anthony Ryan, MSW, LICSW, C-SSWS
- Clinical Social Worker
- New Bedford, MA
National Provider Identifier
1366633380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1022320
- Practice address
- 12 Lincoln St
New Bedford, MA 02740-3658 - Phone
- (508) 996-3899
- Fax
- (508) 996-3899
- NPI assigned
- Aug 6, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1022320 | MA | Primary |
| School Social Worker | 1041S0200X | 1022320 | MA |
Addresses
Primary practice location
12 Lincoln St
New Bedford, MA 02740-3658
Mailing address
12 Lincoln St
New Bedford, MA 02740-3658
Phone (508) 996-3899
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 |
|---|---|---|---|
| 1022320 | MA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304121600000",
"number": "1366633380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 LINCOLN ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027403658",
"telephone_number": "508-996-3899",
"fax_number": "508-996-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 LINCOLN ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027403658",
"telephone_number": "508-996-3899",
"fax_number": "508-996-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "JAMES",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "MSW, LICSW, C-SSWS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2011-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1022320",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MA",
"license": "1022320",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.