Individual provider Active NPI

Ryan W Locke, LLMSW, DP-C

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1932616265
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
710 N Michigan Ave
Saginaw, MI 48602-4319
Phone
(989) 753-8446
NPI assigned
Jan 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

710 N Michigan Ave
Saginaw, MI 48602-4319

Mailing address

710 N Michigan Ave
Saginaw, MI 48602-4319
Phone (989) 753-8446

Other practice location 1

915 Columbus Ave
Bay City, MI 48708-6603
Phone (989) 892-2504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210607001899 MI Practitioner - Clinical Social Worker 5092115428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Family ServiceGroup PAC ID 1052473923, 4 clinicians

Practice addresses (Care Compare)

710 N Michigan Ave
Saginaw, MI 48602-4319
Phone (989) 892-8446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Family Service CurrentSince Jan 11, 2022 Accepting new patients
Catholic Family Service CurrentSince Jan 11, 2022 Accepting new patients
Catholic Family Service PastSince Jan 11, 2022 Accepting new patients

Locations

915 Columbus Ave
Bay City, MI 48708
Phone (989) 778-1090

710 N Michigan Ave
Saginaw, MI 48602
Phone (989) 753-8446

Organizations & group practices 3

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": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1932616265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024319",
            "telephone_number": "989-753-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024319",
            "telephone_number": "989-753-8446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487086603",
            "country_code": "US",
            "telephone_number": "989-892-2504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "RYAN",
        "middle_name": "W",
        "credential": "LLMSW, DP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-09",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.