Individual provider Active NPI

Whitney Ryan, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1396400552
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22752 Issued in MN
Practice address
1032 Grand Ave Ste 100
Saint Paul, MN 55105-3064
Phone
(507) 202-2601
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC23277 ME
Clinical Social Worker 1041C0700X 22752 MN Primary

Addresses

Primary practice location

1032 Grand Ave Ste 100
Saint Paul, MN 55105-3064

Mailing address

PO Box 252
Wanamingo, MN 55983-0252
Phone (507) 202-2601

Other practice location 1

563 Main St
Wanamingo, MN 55983-1515
Phone (507) 202-2601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20250711002295 MN Practitioner - Clinical Social Worker 4082129820 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC23277MEMDClinical Social Worker
22752MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Through Therapy Collective, Inc CurrentSince Jun 2, 2025 Accepting new patients

Locations

3217 Hennepin Ave
Ste 3
Minneapolis, MN 55408
Phone (612) 460-7098

1032 Grand Ave
Ste 100
Saint Paul, MN 55105
Phone (612) 460-7098

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368

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": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1396400552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252",
            "city": "WANAMINGO",
            "state": "MN",
            "postal_code": "559830252",
            "telephone_number": "507-202-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 GRAND AVE STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053064",
            "telephone_number": "507-202-2601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "563 Main St",
            "address_purpose": "LOCATION",
            "city": "Wanamingo",
            "state": "MN",
            "postal_code": "559831515",
            "country_code": "US",
            "telephone_number": "507-202-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "WHITNEY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC23277",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.