Casey C Ryan, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.114540 Issued in IL

Practice address

600 Dakota St
Crystal Lake, IL 60012-3742

Phone

(815) 276-3947

NPI assigned

Oct 24, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blair Counseling and Mediation PC

  • Professional Counselor
  • Crystal Lake, IL
  • NPI 1245479674
  NPD (past)
• Rivier Counseling Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minooka, IL
  • NPI 1801485834
  NPD (past)

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1386466027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 FARM HILL DR",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422503",
            "telephone_number": "815-276-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DAKOTA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123742",
            "telephone_number": "815-276-3947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12555 Farm Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601422503",
            "country_code": "US",
            "telephone_number": "815-276-3947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CASEY",
        "middle_name": "C",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.114540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rush-Select Holdings, LLC.
• Edward Baxter Rusin, PHD
• Janet A Rutherford, P.T.
• Ryan Counseling Services Inc.
• Ashley Ryan, D.C.
• Erin Ryan, MSOM, LAC
• Joan M Ryan, MACC, LCPC
• Mary Loraine Ryan
• Melissa Diane Ryan, D.C.
• Sarah Rebecca Ryan

• Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.