Active NPI
Ryan Leybas, LCSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1679741623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6615111-3501
- Practice address
- 1174 E Graystone Way Ste 6
Salt Lake City, UT 84106-2671 - Phone
- (801) 277-2129
- Fax
- (801) 649-5651
- NPI assigned
- Feb 12, 2008
- Last updated
- Jul 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6615111-3501 | UT | Primary |
Addresses
Primary practice location
1174 E Graystone Way Ste 6
Salt Lake City, UT 84106-2671
Mailing address
1174 E Graystone Way Ste 6
Salt Lake City, UT 84106-2671
Phone (801) 277-2129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110727000161 | UT | Practitioner - Clinical Social Worker | 1153599667 | Practice locations: Salt Lake City, UT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1174 E Graystone Way
Suite 6
Salt Lake City, UT 84106-2671
Phone (801) 277-2129
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan Leybas PLLC | Clinical | Past | 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": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1679741623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1174 E GRAYSTONE WAY STE 6",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841062671",
"telephone_number": "801-277-2129",
"fax_number": "801-649-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1174 E GRAYSTONE WAY STE 6",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841062671",
"telephone_number": "801-277-2129",
"fax_number": "801-649-5651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYBAS",
"first_name": "RYAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-12",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "6615111-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.