Ryan Speese, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801105162 Issued in MI

Practice address

614 Romence Rd Ste 245
Portage, MI 49024-3613

Phone

(269) 615-7637

NPI assigned

Jul 12, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kalamazoo Child and Family Counseling, PLLC

  • Clinical Social Worker
  • Portage, MI
  • NPI 1306293105
  NPD
• A Healing Place, LLC

  • Psychologist
  • Jackson, MI
  • NPI 1275885881

  Clinical

  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1487226221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 ROYCE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014941",
            "telephone_number": "269-491-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 ROMENCE RD STE 245",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243613",
            "telephone_number": "269-615-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEESE",
        "first_name": "RYAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487226221",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275885881",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NPI",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "614 Romence Rd Ste 245",
            "city": "Portage",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490243613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Spagnuolo
• Karen A Spaude
• Justice Nicole Spearritt, LMSW
• Shadrack E Spears, PTA
• Specialized Family Chiropractic PC
• Holly Spohn
• Sports Medicine & Joint Care of West Michigan, PLC
• Kate St. Aubin
• Sharyl Lynn St. John, L.M.S.W.
• Katrina Lynn Stacy, LLMSW

• Clinical Social Worker in Portage, MI
• Providers in Portage, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.