Active NPI
Ryan Ellender, LMSW
- Social Worker
- Baton Rouge, LA
National Provider Identifier
1649740150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15948
- 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, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Medicaid | LA |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Psychiatry, LLC | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Sulphur, LA
- NPI 1942058664
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.