Individual provider Active NPI

Christopher Charles Ryan, MSW

  • Clinical Social Worker
  • Hopewell Junction, NY
National Provider Identifier
1699860544
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R028966-1 Issued in NY
Practice address
2537 Route 52 Ste 1
Hopewell Junction, NY 12533-3236
Phone
(845) 897-4600
Fax
(845) 897-4604
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R028966-1 NY Primary

Addresses

Primary practice location

2537 Route 52 Ste 1
Hopewell Junction, NY 12533-3236

Mailing address

2537 Route 52
Ste 1
Hopewell Junction, NY 12533-3236
Phone (845) 897-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101019001433 NY Practitioner - Clinical Social Worker 3779776000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridges Counseling and Psychotherapy GroupGroup PAC ID 2769372143, 3 clinicians

Practice addresses (Care Compare)

2537 Route 52
Suite 1
Hopewell Junction, NY 12533-3236
Phone (845) 897-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R028966-1NYMDClinical Social Worker
028966NYMDPharmacist

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1699860544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 ROUTE 52",
            "address_2": "STE 1",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333236",
            "telephone_number": "845-897-4600",
            "fax_number": "845-897-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 ROUTE 52 STE 1",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333236",
            "telephone_number": "845-897-4600",
            "fax_number": "845-897-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R028966-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

Verify at the official NPI Registry.