Ryan Freeman Wauson, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116347 Issued in CA

Practice address

3455 Ingraham St
San Diego, CA 92109-6713

Phone

(619) 937-2055

NPI assigned

Sep 16, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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 Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1225251812
  NPD (past)
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1952328700

  Clinical

  NPD (past)

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1629748066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 INGRAHAM ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096713",
            "telephone_number": "619-937-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 INGRAHAM ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096713",
            "telephone_number": "619-937-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUSON",
        "first_name": "RYAN",
        "middle_name": "FREEMAN",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "116347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turner Watts
• William Joseph Watts, M.D.
• Ariel Marie Wauchope
• Brandon Waugh, LCSW
• Matthew John Wauson, MD
• Wave Academy Dba Healing Wave Aquatics
• Wave Medical Supply LLC
• Jessica Wavra
• Justyna Wawrzonek, LCSW
• Vivika Starks Wax, NP

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.