Organization Active NPI

Rose Ryan LLC

  • Clinical Social Worker
  • Jonesboro, AR
National Provider Identifier
1821672668
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROSE RYAN LLC
Practice address
404 Kiersen LN
Jonesboro, AR 72401-8794
Phone
(870) 602-6262
NPI assigned
May 7, 2021
Last updated
May 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Lajoya Derayeia McDonald, LMSW, LCSWNPI 1932581386
Title
Owner
Phone
(870) 604-6262

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 Worker 1041C0700X NU Primary

Addresses

Primary practice location

404 Kiersen LN
Jonesboro, AR 72401-8794

Mailing address

404 Kiersen LN
Jonesboro, AR 72401-8794
Phone (870) 602-6262

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1821672668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 KIERSEN LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018794",
            "telephone_number": "870-602-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 KIERSEN LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018794",
            "telephone_number": "870-602-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE RYAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "LAJOYA",
        "authorized_official_middle_name": "DERAYEIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-604-6262",
        "authorized_official_credential": "LMSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.