Doris Louise Ryan, A.C.S.W., L.I.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1018368 Issued in MA

Practice address

348 Lunenburg St
Suite 102
Fitchburg, MA 01420-4566

Phone

(978) 342-8940

Fax

(978) 342-8940

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831203264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CENTRAL ST",
            "address_2": "PO BOX 1245",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014534804",
            "telephone_number": "978-870-6104",
            "fax_number": "978-342-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 LUNENBURG ST",
            "address_2": "SUITE 102",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204566",
            "telephone_number": "978-342-8940",
            "fax_number": "978-342-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "DORIS",
        "middle_name": "LOUISE",
        "credential": "A.C.S.W., L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1018368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "RYP05736",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Edward Rusak, D.M.D.
• Julie Chrison Russell, M.A.
• Jazmyn Russo
• Jessica Ruttan, MSW INTERN
• Jeannette L Ryan Alkasab, M.D.
• Kim Elizabeth Sablock
• Annette Catherine Saddler
• Alicia Sagastume, B.A.
• Somashekar R Mahesh Sajjupalli, DDS
• Rosilver Salcedo, LCSW

• Clinical Social Worker in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.