Ashley M Ryan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904017844 Issued in VA

Practice address

2380 Liberty Way Ste 100
Virginia Beach, VA 23456-3466

Phone

(757) 701-7297

NPI assigned

Nov 7, 2022

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1790493971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 LIBERTY WAY STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563466",
            "telephone_number": "757-701-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 LIBERTY WAY STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563466",
            "telephone_number": "757-701-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906013126",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "0904017844",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENT LICENSE",
            "identifier": "0906013126",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://patientportal.advancedmd.com/134000/account/logon",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Patient Portal",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "575 Lynnhaven Pkwy Ste 305",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234527350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Harris Russo, RPH
• Anna Virginia Rutledge
• James Leonard Rutledge III, DDS
• RX Innovations, LLC, Dba Firstlab of Virginia
• Amanda Marie Ryan, FNP, DNP
• Jennifer J Ryan, COTA/L
• Nicole J Ryan
• Rycorp
• S D and B Medical Inc.
• S&G Home Improvements Inc.

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.