Individual provider Active NPI

Anne C Ryan, LCSW

  • Clinical Social Worker
  • McLean, VA
National Provider Identifier
1942415237
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002637 Issued in VA
Practice address
1483 Chain Bridge Road
Suite 205
McLean, VA 22101-5703
Phone
(703) 200-8568
Fax
(703) 356-8719
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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 0904002637 VA Primary

Addresses

Primary practice location

1483 Chain Bridge Road
Suite 205
McLean, VA 22101-5703

Mailing address

1483 Chain Bridge Road
Suite 205
McLean, VA 22101-5703
Phone (703) 200-8568

Other identifiers 1

IdentifierTypeStateIssuer
119125OtherVAVALUE OPTIONS LOGIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20100927001287 DC Practitioner - Clinical Social Worker 7214053263 Practice locations: McLean, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1483 Chain Bridge Rd
McLean, VA 22101-5703
Phone (703) 200-8568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904002637VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1942415237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 CHAIN BRIDGE ROAD",
            "address_2": "SUITE 205",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221015703",
            "telephone_number": "703-200-8568",
            "fax_number": "703-356-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 CHAIN BRIDGE ROAD",
            "address_2": "SUITE 205",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221015703",
            "telephone_number": "703-200-8568",
            "fax_number": "703-356-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ANNE",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS LOGIN",
            "identifier": "119125",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.