Laura Nina Ryan, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00682 Issued in RI

Practice address

777 N Main St
Providence, RI 02904-5703

Phone

(617) 828-6176

NPI assigned

Mar 20, 2007

Last updated

Oct 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1528183514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BILLOWS ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521468",
            "telephone_number": "617-828-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045703",
            "telephone_number": "617-828-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LAURA",
        "middle_name": "NINA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00682",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1017564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rutkowski, LICSW
• RWM Consulting
• James Patrick Ryan, R.PH.
• John Mark Ryan, M.D.
• Kathryn M Ryan, LCSW, LICSW
• Meghan M Ryan, PT
• Suzanne L Ryan, N.P.
• Natasha Renee Rybak, M.D.
• Heather Rybasack-Smith, MD
• Beth Ann Ryder, MD

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.