Individual provider Active NPI

Ryan P Fleischmann, LCSW

  • Clinical Social Worker
  • Long Beach, NY
National Provider Identifier
1932712197
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097449-01 Issued in NY
Practice address
2-12 W Park Ave
Long Beach, NY 11561-2025
Phone
(516) 889-2332
NPI assigned
Aug 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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 097449-01 NY Primary

Addresses

Primary practice location

2-12 W Park Ave
Long Beach, NY 11561-2025

Mailing address

450 Shore Rd Apt 1M
Long Beach, NY 11561-5328
Phone (516) 382-3325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20241216003103 NY Practitioner - Clinical Social Worker 6002342987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Beach Reach IncGroup PAC ID 3779884572, 14 clinicians

Practice addresses (Care Compare)

2 -12 W Park Ave
Long Beach, NY 11561-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097449-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Reach Inc. CurrentSince Nov 18, 2024 Accepting new patients

Locations

212 W Park Ave
Long Beach, NY 11561
Phone (516) 767-1133

2-12 W Park Ave
Ste 200
Long Beach, NY 11561
Phone (516) 889-2332

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": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1932712197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SHORE RD APT 1M",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115615328",
            "telephone_number": "516-382-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-12 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612025",
            "telephone_number": "516-889-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHMANN",
        "first_name": "RYAN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-27",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097449-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.