Wendy A Ryan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6329-C Issued in NV

Practice address

220 E Horizon Dr
Suite D
Henderson, NV 89015-8035

Phone

(702) 293-2696

Fax

(702) 475-8220

NPI assigned

Jul 23, 2010

Sex

Female

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 1

Other names 1

• Wendy Ryan, LCSW, LLC Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1497068092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E HORIZON DR",
            "address_2": "STE D",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158035",
            "telephone_number": "702-293-2696",
            "fax_number": "702-475-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E HORIZON DR",
            "address_2": "SUITE D",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158035",
            "telephone_number": "702-293-2696",
            "fax_number": "702-475-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "WENDY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6329-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497068092",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "RYAN, LCSW, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ryan C. Shipp,DMD,Ms,PC
• Ryan E. Mitchell DO PLLC
• Ryan J. Grabow, MD, LTD
• Allison Pope Ryan, D.O.
• Lori Jean Ryan
• Crystal Ryder, PA-C
• Olivia Rye
• S and L Hospice Care Inc
• S and S Kim Group PC
• S Honest Physical Therapy LLC

• Clinical Social Worker in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.