Ryan M Kull Licensed Clinical Social Work LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR061627-1 Issued in NY

Legal business name

RYAN M KULL LICENSED CLINICAL SOCIAL WORK LLC

Practice address

330 W 58TH St Ste 401
New York, NY 10019-1821

Phone

(914) 200-4675

NPI assigned

Oct 31, 2014

Organization subpart

No

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

Authorized official

Name

Ryan M Kull

Title

Owner

Phone

(914) 200-4675

Specialties & licenses 2

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christie Block, MA, MS, CCC-SLP

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1083828065
  NPD
• Michael Wayne Clemens, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1487167029
  NPD (past)
• Joie Adam Deritis, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1033621651
  NPD (past)
• Abigail Friedman

  • Mental Health Counselor
  • New York, NY
  • NPI 1881107142
  NPD (past)
• Ezra Yurman-Whyde, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1962086074
  NPD (past)

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1487059523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 S OCEAN AVE UNIT 500",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723702",
            "telephone_number": "914-200-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST STE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191821",
            "telephone_number": "914-200-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN M KULL LICENSED CLINICAL SOCIAL WORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "KULL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-200-4675"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR061627-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Badolato, MD PLLC
• Ryan Chow PT PC
• Ryan Drugs LLC
• Ryan Drugs LLC
• Ryan Lingor MD PC
• Ryan Nena CHC
• Veronica Ryan Silverberg, LCSW BCD
• Ryan Sobel MD PC
• Ryan Suh, DC PC
• Ryan Whitney MD PC

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.