Jordan Leigh Ryan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9061-123 Issued in WI

Practice address

4811 S 76TH St # 305
Milwaukee, WI 53220-4364

Phone

(414) 325-7741

NPI assigned

Aug 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ad Astra Therapy LLC

  • Clinical Social Worker
  • Elm Grove, WI
  • NPI 1407684319
  NPD
• Child & Family Therapeutic Systems S.C.

  • Clinical Social Worker
  • Greenfield, WI
  • NPI 1922176395
  NPD
• Roots Work LLC

  • Clinical Social Worker
  • Madison, WI
  • NPI 1801370333
  NPD

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1841579752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 S 76TH ST # 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532204364",
            "telephone_number": "414-325-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 S 76TH ST # 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532204364",
            "telephone_number": "414-325-7741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Kessel Ct",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537116227",
            "country_code": "US",
            "telephone_number": "608-280-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JORDAN",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "129512-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9061-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime G Ruvalcaba, MD
• Kimberly Rux
• James Ruzicka
• Kathleen Therese Ryan Loker, MD
• Gabriel Dillon Ryan, M.D.
• Kaitlin Ryan
• Kelsey Schuette Ryan, M.D.
• Kimberly Ryan
• Lawrence M Ryan, MD
• Mary Kathleen Ryan, PT

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.