Individual provider Active NPI

Ryan Wexelblatt, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1649658790
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05776500 Issued in NJ
Practice address
319 W Simpson St
Tucson, AZ 85701-2256
Phone
(520) 222-6558
NPI assigned
May 9, 2015
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW020076 PA
Clinical Social Worker 1041C0700X LCSW-20537 AZ
Clinical Social Worker 1041C0700X SW20552 FL
School Social Worker 1041S0200X 00419755 NJ
Clinical Social Worker 1041C0700X 44SC05776500 NJ Primary

Addresses

Primary practice location

319 W Simpson St
Tucson, AZ 85701-2256

Mailing address

319 W Simpson St
Tucson, AZ 85701-2256
Phone (520) 222-6558

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

LicenseStateTypeSpecialty
LCSW-20537AZMDClinical Social Worker
SW20552FLMDClinical Social Worker
44SC05776500NJMDClinical Social Worker
CW020076PAMDClinical Social Worker
00419755NJMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
ADHD Dude Clinical Current Accepting new patients

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": "1431129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1649658790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W SIMPSON ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857012256",
            "telephone_number": "520-222-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W SIMPSON ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857012256",
            "telephone_number": "520-222-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEXELBLATT",
        "first_name": "RYAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-09",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020076",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-20537",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20552",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "00419755",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05776500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.