Ryan Eric Estevo, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108188 Issued in CA

Practice address

572 Lakeport Blvd
Lakeport, CA 95453-5420

Phone

(707) 229-0323

NPI assigned

Jun 14, 2022

Sex

Male

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

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1841920832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954530102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 LAKEPORT BLVD",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535420",
            "telephone_number": "707-229-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEVO",
        "first_name": "RYAN",
        "middle_name": "ERIC",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "108188",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Ehr, MFT, LEP
• Elite Logistics Northern California LLC (Elite Logistics)
• Emmalena a Boyd OD Optometric Corporation
• Environmental Alternatives (EA Family Services)
• Erik Jameson Chiropractic Inc.
• Kelly Jean Evenson
• Evergreen at Lakeport, L.L.C. (Evergreen Lakekport Healthcare)
• Angelina Fagundo
• Farallon Inpatient Medical Group Inc (Farallon Medical Group)
• Lynn Farmer, MFTI

• Clinical Social Worker in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.