Individual provider Active NPI

Ryan A Israel

  • Social Worker
National Provider Identifier
1508565003
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ISW16479 Issued in FL
Practice address
92 Erskine Hill
London, ENGLAND NW11 6HR
GB
Phone
(561) 318-1474
NPI assigned
Feb 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ISW16479 FL Primary

Addresses

Primary practice location

92 Erskine Hill
London, ENGLAND NW11 6HR
GB

Mailing address

92 Erskine Hill
London, UK NW11 6HR
GB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816003476 MA Practitioner - Clinical Social Worker 1254879505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW16479FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Neurobehavioral Associates, LLC CurrentSince Jul 22, 2024 Accepting new patients
Kelley Costello, LMFT, Inc. Past Accepting new patients
Great Lakes Psychotherapy LLC PastSince May 4, 2025 Accepting new patients

Locations

226 Field St
New Bedford, MA 02740
Phone (508) 817-5129

Organizations & group practices 3

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": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1508565003",
    "addresses": [
        {
            "country_code": "GB",
            "country_name": "Great Britain",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "92 ERSKINE HILL",
            "city": "LONDON",
            "state": "UK",
            "postal_code": "NW11 6HR"
        },
        {
            "country_code": "GB",
            "country_name": "Great Britain",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "92 ERSKINE HILL",
            "city": "LONDON",
            "state": "ENGLAND",
            "postal_code": "NW11 6HR",
            "telephone_number": "561-318-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "RYAN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-23",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW16479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.