Melissa Ryan Licsw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MELISSA RYAN LICSW, LLC

Practice address

7 Central St Ste 205
Arlington, MA 02476-4816

Phone

(617) 612-5422

NPI assigned

May 9, 2019

Last updated

May 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Ryan, LICSW

Title

Owner/Clinical Social Worker

Phone

(617) 612-5422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1831755388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CONCORD RD",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721975",
            "telephone_number": "617-612-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CENTRAL ST STE 205",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764816",
            "telephone_number": "617-612-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA RYAN LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "617-612-5422",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Arlington, MA
• Providers in Arlington, 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 May 9, 2019; 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.