Active NPI
Ryan D Vargas, LMSW, CADC, CCAR
- Clinical Social Worker
- Adrian, MI
National Provider Identifier
1609248962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801114103
- Practice address
- 770 Riverside Ave Ste 11
Adrian, MI 49221-1465 - Phone
- (517) 264-2244
- Fax
- (517) 263-3325
- NPI assigned
- Oct 27, 2015
- Last updated
- Oct 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2-01111 | MI | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | |||
| Clinical Social Worker | 1041C0700X | 6801114103 | MI | Primary |
Addresses
Primary practice location
770 Riverside Ave Ste 11
Adrian, MI 49221-1465
Mailing address
770 Riverside Ave Ste 11
Adrian, MI 49221-1465
Phone (517) 264-2244
Other practice location 1
110 Reading Ave
Jonesville, MI 49250-1136
Phone (517) 849-2330
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 |
|---|---|---|---|
| 2-01111 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6801114103 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital, Inc | Past | Accepting new patients | |
| McCullough Vargas and Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Jonesville, MI
- NPI 1851580831
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1609248962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 RIVERSIDE AVE STE 11",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211465",
"telephone_number": "517-264-2244",
"fax_number": "517-263-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 RIVERSIDE AVE STE 11",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211465",
"telephone_number": "517-264-2244",
"fax_number": "517-263-3325"
}
],
"practiceLocations": [
{
"address_1": "110 Reading Ave",
"address_purpose": "LOCATION",
"city": "Jonesville",
"state": "MI",
"postal_code": "492501136",
"country_code": "US",
"telephone_number": "517-849-2330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGAS",
"first_name": "RYAN",
"middle_name": "D",
"credential": "LMSW, CADC, CCAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-27",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "2-01111",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801114103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.