Individual provider Active NPI

Ryan Timothy Stanton, LICSW, LADC

  • Clinical Social Worker
  • Montpelier, VT
National Provider Identifier
1841781218
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0084653 Issued in VT
Practice address
132 Main St
Montpelier, VT 05602
Phone
(802) 489-6710
NPI assigned
May 22, 2018
Reactivated
Nov 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 151.0124675 VT
Clinical Social Worker 1041C0700X 089.0084653 VT Primary

Addresses

Primary practice location

132 Main St
Montpelier, VT 05602

Mailing address

168 Northfield St
Montpelier, VT 05602-3333
Phone (802) 249-7260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190115002770 VT Practitioner - Clinical Social Worker 5294071031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

168 Northfield St
Montpelier, VT 05602-3333

56 E State St
Montpelier, VT 05602-3012
Phone (802) 249-7260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
151.0124675VTMDAddiction (Substance Use Disorder) Counselor
089.0084653VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Stanton PLC CurrentSince Nov 19, 2018 Accepting new patients

Locations

132 Main St
Montpelier, VT 05602
Phone (802) 345-5303

Interoperability endpoints

  • Direct secure messaging: ryan.stanton@ryan-stanton.direct.kno2fy.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1841781218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 NORTHFIELD ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023333",
            "telephone_number": "802-249-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MAIN ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "05602",
            "telephone_number": "802-489-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "RYAN",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "LICSW, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-11-15",
        "deactivation_date": "2018-09-26",
        "reactivation_date": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0124675",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0084653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

Verify at the official NPI Registry.