Individual provider Active NPI

Richard Francis Ryan, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1548348063
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-05176 Issued in NM
Practice address
1502 S Saint Francis Dr
Santa Fe, NM 87505-4040
Phone
(505) 930-5415
NPI assigned
Nov 1, 2006
Last updated
Mar 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-05176 NM Primary
Clinical Social Worker 1041C0700X LCS23135 CA

Addresses

Primary practice location

1502 S Saint Francis Dr
Santa Fe, NM 87505-4040

Mailing address

1502 S Saint Francis Dr
Santa Fe, NM 87505-4040
Phone (505) 930-5415

Other practice location 1

1736 Westwood Blvd
suite 210
Los Angeles, CA 90024-5635
Phone (310) 882-0943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20150731015253 NM Practitioner - Clinical Social Worker 9931207354 Practice locations: Santa Fe, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1502 S Saint Francis Dr
Santa Fe, NM 87505-4040
Phone (505) 670-3470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS23135CAMDClinical Social Worker
C-05176NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Richard F. Ryan, PHD, LCSW Clinical CurrentSince Jun 23, 2015 Accepting new patients

Locations

1502 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 390-6802

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1548348063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S SAINT FRANCIS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054040",
            "telephone_number": "505-930-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S SAINT FRANCIS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054040",
            "telephone_number": "505-930-5415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1736 Westwood Blvd",
            "address_2": "suite 210",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900245635",
            "country_code": "US",
            "telephone_number": "310-882-0943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "RICHARD",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-05176",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.