Active NPI
Ryan Wexelblatt, LCSW
- Clinical Social Worker
- Tucson, AZ
National Provider Identifier
1649658790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05776500
- Practice address
- 319 W Simpson St
Tucson, AZ 85701-2256 - Phone
- (520) 222-6558
- NPI assigned
- May 9, 2015
- Last updated
- Nov 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-20537 | AZ | MD | Clinical Social Worker |
| SW20552 | FL | MD | Clinical Social Worker |
| 44SC05776500 | NJ | MD | Clinical Social Worker |
| CW020076 | PA | MD | Clinical Social Worker |
| 00419755 | NJ | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- Tucson, AZ
- NPI 1598479396
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.