Individual provider Active NPI

Ryan Hocking, LCSW

  • Clinical Social Worker
  • Old Saybrook, CT
National Provider Identifier
1487995643
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007683 Issued in CT
Practice address
130 Elm St
Old Saybrook, CT 06475-4105
Phone
(860) 388-9656
NPI assigned
Mar 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007683 CT Primary

Addresses

Primary practice location

130 Elm St
Old Saybrook, CT 06475-4105

Mailing address

51 Sage Hollow Rd
Guilford, CT 06437-1566
Phone (203) 980-3861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007683CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Project Courage, LLC CurrentSince Oct 24, 2021 Accepting new patients
Project Courage, LLC Clinical CurrentSince Aug 10, 2025 Accepting new patients

Locations

130 Elm St
Old Saybrook, CT 06475
Phone (860) 388-9656

Organizations & group practices 2

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": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1487995643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SAGE HOLLOW RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371566",
            "telephone_number": "203-980-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ELM ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754105",
            "telephone_number": "860-388-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKING",
        "first_name": "RYAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-12",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.