Lisa Ryan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021608 Issued in PA

Practice address

3301 W Market St
York, PA 17404-5806

Phone

(717) 850-3662

NPI assigned

Mar 10, 2021

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1962087064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174045806",
            "telephone_number": "717-850-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174045806",
            "telephone_number": "717-850-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "paccenterofhealingandwellness@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3301 W Market St",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174045806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy Rutz, CRNP
• Casey Travis Ryan, PAC
• Jacqueline S Ryan, BA
• James Patrick Ryan V, M.D.
• Kristi Ryan
• Amy E Rynaski
• Thomas Stephen Ryscavage, MD
• Teresa Marie Saar, CRNP (FNP-C)
• Marc Louis Sabatino, D.O.
• Andrea Edith Sabocsik, CRNP

• Clinical Social Worker in York, PA
• Providers in York, 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 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.