Kathryn M Ryan, LCSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW04814 Issued in RI

Practice address

145 Doyle Ave
Providence, RI 02906-1609

Phone

(401) 213-9088

NPI assigned

Jul 25, 2023

Last updated

Jul 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pine Cove Counseling LLC

  • Clinical Social Worker
  • Providence, RI
  • NPI 1962358879
  NPD Authorized official
• Counseling and Trauma Therapy Associates

  • Clinical Social Worker
  • Biddeford, ME
  • NPI 1396264933
  NPD

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1770263683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2388",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029060388",
            "telephone_number": "401-213-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 DOYLE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061609",
            "telephone_number": "401-213-9088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Federal St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041014222",
            "country_code": "US",
            "telephone_number": "401-213-9088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Ocean Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041034970",
            "country_code": "US",
            "telephone_number": "207-405-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC25760",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Gilbert Rust
• Elizabeth Rutkowski, LICSW
• RWM Consulting
• James Patrick Ryan, R.PH.
• John Mark Ryan, M.D.
• Laura Nina Ryan, LICSW
• Meghan M Ryan, PT
• Suzanne L Ryan, N.P.
• Natasha Renee Rybak, M.D.
• Heather Rybasack-Smith, MD

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.