Kimberly Michelle Ryan, BEHAVIORAL HEALTH

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW1120676 Issued in MA

Practice address

6 Lancelot Rd
Shrewsbury, MA 01545-7752

Phone

(508) 667-7790

NPI assigned

Jun 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Healing Toward Joy LLC

  • Community/Behavioral Health Agency
  • Shrewsbury, MA
  • NPI 1427947555
  Medicare reassignment NPD Authorized official
• Northeast Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taunton, MA
  • NPI 1225067481
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1740849298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LANCELOT RD",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015457752",
            "telephone_number": "508-667-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LANCELOT RD",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015457752",
            "telephone_number": "508-667-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "credential": "BEHAVIORAL HEALTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "LICSW1120676",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1120676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona Kate Roy Sullivan, PH.D.
• Debraj Roy
• Chantal Marie Royer-Haig, MA-LMHC
• Emilyann Eve Rudzinski, DC
• Cathryn Ryan, OTR/L
• Susan Shaw Saari, LIC. AC.
• Sakhee LLC
• Frances Yvette Salinas, BS
• Vijitha Sanam, DMD
• Briana Santaniello, PHARM.D., MBA

• Clinical Social Worker in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.

Verify at the official NPI Registry.