Ryan Bonville O'Donnell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021684 Issued in PA

Practice address

560 Beatty Rd
Monroeville, PA 15146-1334

Phone

(412) 374-8275

Fax

(412) 374-0708

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Nisar Inc

  • Psychologist
  • Monroeville, PA
  • NPI 1245398692
  NPD (past)

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1871188599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 BEATTY RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461334",
            "telephone_number": "412-374-8275",
            "fax_number": "412-374-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BEATTY RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461334",
            "telephone_number": "412-374-8275",
            "fax_number": "412-374-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "RYAN",
        "middle_name": "BONVILLE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rodonnell@nisarinc.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Nisar Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "560 Beatty Rd",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151461334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacob Nutter
• Nxstage Pittsburgh East, LLC
• Emily O'Brien, PHARMD
• Anna O'Connor, MD
• Conor Patrick O'Donnell, DO
• Colin Henry O'Grady, LPC
• Casey O'Hara, LCSW
• Thomas O'Malley, PT
• Ellen O'Toole, PT
• Oasis Spine & Sport PLLC (Oasis Spine & Sport)

• Clinical Social Worker in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.

Verify at the official NPI Registry.