Active NPI
Whitney Ryan, LICSW
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1396400552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22752
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250711002295 | MN | Practitioner - Clinical Social Worker | 4082129820 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC23277 | ME | MD | Clinical Social Worker |
| 22752 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Through Therapy Collective, Inc | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.