Michael James Ryan, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

118781 Issued in NY

Practice address

350 Jericho Tpke Ste 103
Jericho, NY 11753-1317

Phone

(631) 767-9097

NPI assigned

Jan 17, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Long Island Lcsws PLLC

  • Community/Behavioral Health Agency
  • Jericho, NY
  • NPI 1992414940
  NPD

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1528773389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ROOSEVELT CT",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115142106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JERICHO TPKE STE 103",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531317",
            "telephone_number": "631-767-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "118781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie M Rosenberg Mass, M.S. CCC-SLP
• Robin Rosenberg, SPEECH PATHOLOGIST
• Regina Rosenfeld, RN
• Edward Alan Rosenthal, DDS PC
• Linda Susan Rozof-Guber, RPH
• Ira M Sacker, M.D.
• Kunal Saggar, DDS
• Vishal Saggar, M.D.
• Lizabeth Salerno, LMT
• Kathleen Sambour

• Social Worker in Jericho, NY
• Providers in Jericho, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.