Individual provider Active NPI

Ryan Ellender, LMSW

  • Social Worker
  • Baton Rouge, LA
National Provider Identifier
1649740150
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
15948 Issued in LA
Practice address
7855 Howell Blvd
Baton Rouge, LA 70807-5256
Phone
(225) 475-9978
Fax
(225) 357-0795
NPI assigned
Nov 27, 2018
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 15948 LA Primary

Addresses

Primary practice location

7855 Howell Blvd
Baton Rouge, LA 70807-5256

Mailing address

9250 Foster Rd
Baton Rouge, LA 70811-2715
Phone (985) 713-3982

Other identifiers 1

IdentifierTypeStateIssuer
0000000MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250224002060 LA Practitioner - Clinical Social Worker 7810417698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Psychiatry, LLCGroup PAC ID 9931632080, 8 clinicians

Practice addresses (Care Compare)

901 S Huntington St
Sulphur, LA 70663-4419
Phone (337) 965-9921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Psychiatry, LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

901 S Huntington St
Sulphur, LA 70663
Phone (337) 429-8088

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": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1649740150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 FOSTER RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708112715",
            "telephone_number": "985-713-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708075256",
            "telephone_number": "225-475-9978",
            "fax_number": "225-357-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENDER",
        "first_name": "RYAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-27",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "15948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.