Individual provider Active NPI

Ryan McNeel

  • Clinical Social Worker
  • Elk Grove, CA
National Provider Identifier
1700255569
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108239 Issued in CA
Practice address
5050 Laguna Blvd Ste 118
Elk Grove, CA 95758-4151
Phone
(916) 441-3819
NPI assigned
Sep 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 108239 CA Primary

Addresses

Primary practice location

5050 Laguna Blvd Ste 118
Elk Grove, CA 95758-4151

Mailing address

7806 Uplands Way
Citrus Heights, CA 95610-7567
Phone (916) 967-6253

Other practice location 1

7806 Uplands Way
Citrus Heights, CA 95610-7567
Phone (916) 967-6253

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

LicenseStateTypeSpecialty
108239CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1700255569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 UPLANDS WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107567",
            "telephone_number": "916-967-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 LAGUNA BLVD STE 118",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584151",
            "telephone_number": "916-441-3819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7806 Uplands Way",
            "address_purpose": "LOCATION",
            "city": "Citrus Heights",
            "state": "CA",
            "postal_code": "956107567",
            "country_code": "US",
            "telephone_number": "916-967-6253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEEL",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-22",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.