Katlynn Rynearson, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.1600090 Issued in OH

Practice address

160 Fox Road
Van Wert, OH 45891

Phone

(419) 238-6655

Fax

(419) 238-6696

NPI assigned

Jan 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Katlynn Dotson Former name

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1821638172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE ROAD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053529",
            "telephone_number": "419-999-2010",
            "fax_number": "419-999-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FOX ROAD",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "45891",
            "telephone_number": "419-238-6655",
            "fax_number": "419-238-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNEARSON",
        "first_name": "KATLYNN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1600090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0386614",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER",
            "identifier": "S.1600090",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLYNN",
            "last_name": "DOTSON",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander J Rosbaugh
• Lillian J Rosebrock
• Saige Madison Royer
• Michelle Ruch
• Kim Marie Runser, CNP
• Hisham Zaki Saeed
• Jane Elizabeth Sande, M.D.
• Rae-Ann Rebecca Sanders, LMT, LPN, CDP
• Eric Schaffner, DPT
• Matthew Richard Schaufelberger

• Clinical Social Worker in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.