Individual provider Active NPI

Katherine Joy Ryan, L.C.S.W.

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1811121973
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS10872 Issued in CA
Practice address
2090 Great Hwy
Suite # 203
San Francisco, CA 94116-1064
Phone
(415) 731-1500
NPI assigned
May 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS10872 CA Primary

Addresses

Primary practice location

2090 Great Hwy
Suite # 203
San Francisco, CA 94116-1064

Mailing address

2090 Great Highway
Suite # 203
San Francisco, CA 94116-1055
Phone (415) 731-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20141213000012 CA Practitioner - Clinical Social Worker 2567784994 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2090 Great Hwy
Apt 203
San Francisco, CA 94116-1055

2090 Great Hwy 203
San Francisco, CA 94116-1055
Phone (415) 731-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS10872CAMDClinical Social Worker
10872CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1811121973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 GREAT HIGHWAY",
            "address_2": "SUITE # 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161055",
            "telephone_number": "415-731-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 GREAT HWY",
            "address_2": "SUITE # 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161064",
            "telephone_number": "415-731-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KATHERINE",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS10872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.