Ryan Robert Lutz, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A12194 Issued in OR

Practice address

4223 SE 66TH Ave
Portland, OR 97206-3658

Phone

(503) 400-3265

NPI assigned

Jul 23, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Great Blue Heron Counseling LLC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1154288041
  NPD Authorized official
• Morrison Child and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1346382975
  NPD (past)

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1982127817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 SE 66TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063658",
            "telephone_number": "503-400-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 SE 66TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063658",
            "telephone_number": "503-400-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "RYAN",
        "middle_name": "ROBERT",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-23",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A12194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Lutz
• Johannah Lutz, PA-C
• Katherine Jo Lutz, MD
• Linda J. Lutz, CNM
• Rachel Lutz, LAC
• Danielle Lutzow
• Cuong Phuoc Luu, MD
• Jane Tuyet Luu, MD
• Kelly Luu, RDH
• Kourtney Lee Luu, RPH

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.