Kathleen A Ryan is a Clinical in Aurora, Illinois. Kathleen A Ryan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen A Ryan is 1528260023. The last update date is 2016-01-08.
Kathleen A Ryan's current location address is 3124 Medford Ct, Aurora, Illinois. You can contact this provider via phone number 6309780337. The mailing address for Kathleen A Ryan is 3124 Medford Ct, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen A Ryan |
|---|---|
| Address | 3124 Medford Ct, Aurora, Illinois |
| Phone Number | 6309780337 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1528260023 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2016-01-08 |
Provider Mailing Address Detail
| Address | 3124 Medford Ct |
|---|---|
| City | Aurora |
| State | Illinois (IL) |
| Post Code | 605047271 |
| Phone Number | 6309780337 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.003485 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 376560 | IL | MEDICARE |
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What is the Kathleen A Ryan's 1528260023?
The Kathleen A Ryan's NPI (National Provider Identifier) Number is 1528260023. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kathleen A Ryan located?
The Kathleen A Ryan is located at 3124 Medford Ct, Aurora, IL 605047271.
What is Kathleen A Ryan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kathleen A Ryan is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Kathleen A Ryan receive its 1528260023 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen A Ryan was assigned its 1528260023 by the Centers for Medicare & Medicaid Services on 2007-06-05.
When was the information regarding Kathleen A Ryan most recently updated?
The details pertaining to the Kathleen A Ryan, including its address, specialty, and other relevant information, were last refreshed on 2016-01-08.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA