Active NPI
Nina R Ryers, LCSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1528120177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4506
- Practice address
- 421 SW Oak St
Ste. 210
Portland, OR 97204-1817 - Phone
- (503) 988-7468
- Fax
- (503) 988-3015
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4506 | OR | Primary |
Addresses
Primary practice location
421 SW Oak St
Ste. 210
Portland, OR 97204-1817
Mailing address
421 SW Oak St
Ste. 210
Portland, OR 97204-1817
Phone (503) 988-7468
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096511 | Medicaid | OR | |
| 22959 | Medicaid | OR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4506 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1528120177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 SW OAK ST",
"address_2": "STE. 210",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972041817",
"telephone_number": "503-988-7468",
"fax_number": "503-988-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 SW OAK ST",
"address_2": "STE. 210",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972041817",
"telephone_number": "503-988-7468",
"fax_number": "503-988-3015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYERS",
"first_name": "NINA",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096511",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22959",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.