Active NPI
Ryan Papciak
- Clinical Social Worker
- Wilton Manors, FL
National Provider Identifier
1871137182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16931
- Practice address
- 2312 Wilton Dr
Wilton Manors, FL 33305-1249 - Phone
- (954) 526-5583
- NPI assigned
- Oct 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 011632 | NC | |
| Clinical Social Worker | 1041C0700X | 16931 | FL | Primary |
Addresses
Primary practice location
2312 Wilton Dr
Wilton Manors, FL 33305-1249
Mailing address
2170 N 29TH Ave Apt 203
Hollywood, FL 33020-1718
Phone (908) 458-3198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011632 | NC | MD | Mental Health Counselor |
| 16931 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1871137182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 N 29TH AVE APT 203",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330201718",
"telephone_number": "908-458-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2312 WILTON DR",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051249",
"telephone_number": "954-526-5583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPCIAK",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-30",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "011632",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "16931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilton Manors, FL
- Onsite Optometry LLC
- Palm Court NH, LLC (Wilton Manors Health & Rehabilitation Center)
- Palm Court NH, LLC (Wilton Manors Health & Rehabilitation Center)
- Jennifer Marie Palmer
- Karina Palta
- Kunj Dineshkumar Patel
- Paul Hyman LCSW LLC
- Dominique Maximino Pavon, PHARMD
- Jesenia Perez, MSW
- Pharmacy4Humanity (AHF Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.