Ryan J. Lindsey, LICSW, SUDP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60606389 Issued in WA

Practice address

6226 213TH Avenue CT E
Lake Tapps, WA 98391-6134

Phone

(347) 268-6975

NPI assigned

Nov 9, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 15, 2024 through Mar 15, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Freesia Therapy Collective PLLC

  • Clinical Social Worker
  • Lake Tapps, WA
  • NPI 1417721473
  NPD Authorized official

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1962875203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 213TH AVENUE CT E",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "983916134",
            "telephone_number": "347-268-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 213TH AVENUE CT E",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "983916134",
            "telephone_number": "347-268-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "RYAN",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LICSW, SUDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60609894",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "CO60612227",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60606389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Tapps Family Medicine, PLLC
• Lakeside Birth Center LLC
• Jessica Lynn Landor, ARNP FNP-C
• Lashes & Massage LLC
• Lacie Lewandowski, PT, DPT
• Susan May Llewellyn, P.T.
• Shirley Konstance Locke, D.D.S.
• Aubrey Lough
• Michael Louis Lucchesi
• Luma Integrative Health

• Clinical Social Worker in Lake Tapps, WA
• Providers in Lake Tapps, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.