Active NPI
Valeria R Ryan, LCSW
- Social Worker
- Louisa, KY
National Provider Identifier
1558475343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- KY0860
- Practice address
- 60 Professional Park Drive
Louisa, KY 41230 - Phone
- (606) 638-4332
- Fax
- (606) 638-4394
- NPI assigned
- Aug 18, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | KY0860 | KY | Primary |
Addresses
Primary practice location
60 Professional Park Drive
Louisa, KY 41230
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11490840 | Other | CAQH | |
| 30610026 | Medicaid | KY | |
| 000000217960 | Other | ANTHEM BCBS | |
| 10984 | Other | CHA | |
| 279404 | Other | MANAGED HEALTH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0860 | KY | MD | Mental Health Counselor |
| KY0860 | KY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558475343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411050790",
"telephone_number": "606-329-8588",
"fax_number": "606-329-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 PROFESSIONAL PARK DRIVE",
"city": "LOUISA",
"state": "KY",
"postal_code": "41230",
"telephone_number": "606-638-4332",
"fax_number": "606-638-4394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "VALERIA",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "KY0860",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11490840",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30610026",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000217960",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA",
"identifier": "10984",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH",
"identifier": "279404",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.