Zachary Daniel Ryan, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124597 Issued in MA

Practice address

21 Court House LN
East Greenwich, RI 02818-3803

Phone

(401) 595-6733

NPI assigned

Sep 29, 2014

Last updated

Sep 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1811390339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MEADOW LN APT 12",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241890",
            "telephone_number": "401-318-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COURT HOUSE LN",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183803",
            "telephone_number": "401-595-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ZACHARY",
        "middle_name": "DANIEL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-29",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin G Ruell, LMHC, LLC
• Karen Ann Rugg, RN
• Jessica Dair Russell, PA-C
• Ryan S Allen DO LLC
• Deborah Ann Ryan, N.P.
• S H Opco Greenwich Bay Manor LLC (Greenwich Bay Retirement Licing)
• Julian Michael Saad, PHD
• Pooyan Sadr Eshkevari, MD, DDS
• Saint Elizabeth Home East Greenwich
• Lindsay Rose Sakellarios

• Clinical Social Worker in East Greenwich, RI
• Providers in East Greenwich, 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 Sep 5, 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.