Individual provider Active NPI

Ryan Malphrus, LCSW-C

  • School Social Worker
  • Lanham, MD
National Provider Identifier
1952765109
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
18660 Issued in MD
Practice address
5100 Philadelphia Way
Lanham, MD 20706-4412
Phone
(301) 429-6191
Fax
(301) 429-6194
NPI assigned
Apr 13, 2016
Last updated
Apr 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 18660 MD Primary

Addresses

Primary practice location

5100 Philadelphia Way
Lanham, MD 20706-4412

Mailing address

5100 Philadelphia Way
Lanham, MD 20706-4412
Phone (301) 429-6191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18660MDMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Education of MD, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1952765109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 PHILADELPHIA WAY",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064412",
            "telephone_number": "301-429-6191",
            "fax_number": "301-429-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 PHILADELPHIA WAY",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064412",
            "telephone_number": "301-429-6191",
            "fax_number": "301-429-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALPHRUS",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MD",
            "license": "18660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.