Organization Active NPI

Matthew Ryan, LCSW, PLLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1780313015
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MATTHEW RYAN, LCSW, PLLC
Practice address
1651 3Rd Ave RM 205
New York, NY 10128-3679
Phone
(203) 364-4731
NPI assigned
Jun 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
Matthew Ryan, LCSWNPI 1528428000
Title
Owner
Phone
(203) 364-4731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1651 3Rd Ave RM 205
New York, NY 10128-3679

Mailing address

442 5TH Ave # 1033
New York, NY 10018-2794
Phone (203) 364-4731

Other practice location 1

442 5th Ave # 1033
New York, NY 10018-2794
Phone (203) 364-4731

Other names 1

  • Progress Therapy LCSW Services Doing business as

National Provider Directory

National Provider Directory

Locations

442 5th Ave
#1033
New York, NY 10018
Phone (203) 364-4731

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1780313015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 5TH AVE # 1033",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182794",
            "telephone_number": "203-364-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 3RD AVE RM 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283679",
            "telephone_number": "203-364-4731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "442 5th Ave # 1033",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100182794",
            "country_code": "US",
            "telephone_number": "203-364-4731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATTHEW RYAN, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-364-4731",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progress Therapy LCSW Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Progress Therapy LCSW Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.