Active NPI
Jenny S Ryerson, MSW, LCSW
- Clinical Social Worker
- Mooresville, NC
National Provider Identifier
1629460217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C011109
- Practice address
- 919 N Main St Ste B
Mooresville, NC 28115 - Phone
- (704) 660-6854
- NPI assigned
- Feb 19, 2015
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C011109 | NC | Primary |
Addresses
Primary practice location
919 N Main St Ste B
Mooresville, NC 28115
Mailing address
919 N Main St Ste B
Mooresville, NC 28115-2355
Phone (704) 660-6854
Other practice location 1
8401 University Exec Park Dr Ste 106
Charlotte, NC 28262-1360
Phone (704) 716-1146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Turning Point Homes, LLC | Past | Accepting new patients | |
| Turning Point Homes, Inc | Past | Accepting new patients |
Locations
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1689953655
-
- Community/Behavioral Health Agency
- Mooresville, NC
- NPI 1265540884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1629460217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 N MAIN ST STE B",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281152355",
"telephone_number": "704-660-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 N MAIN ST STE B",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "28115",
"telephone_number": "704-660-6854"
}
],
"practiceLocations": [
{
"address_1": "8401 University Exec Park Dr Ste 106",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282621360",
"country_code": "US",
"telephone_number": "704-716-1146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYERSON",
"first_name": "JENNY",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C011109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.