KELLY RYAN (NPI# 1588786685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588786685 |
| Entity Type | Individual |
| Full Name | KELLY RYAN |
| Credential | M.ED. |
| Practice Address |
500 W Cummings Park Suite 3900 Woburn MA 01801-6503 |
| Mailing Address |
38 Winslow Rd Reading MA 01867-2856 |
| Practice Telephone | 7818716550 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528543337 | Kelly Ryan | Lactation Consultant, Non-RN | 3533 Michael Dr, San Mateo, CA 94403-4208 | 2018-09-27 |
| 1497116131 | Kelly Ryan | Physical Therapist | 15 Freeport Ave, Point Lookout, NY 11569-3015 | 2016-03-08 |
| 1124455258 | Kelly Lynn Ryan | Social Worker | 411 Meridian Ave, Apt 4, Miami Beach, FL 33139-6528 | 2013-10-03 |
| 1760738140 | Kelly K Ryan | Physical Therapy Assistant | 35 Holly Park Ln, #122, Lexington, VA 24450-3756 | 2012-08-03 |
| 1518196963 | Kelly Michelle Ryan | Pharmacist | 2200 Sw Gage Blvd Bldg 9, Topeka, KS 66622-2686 | 2009-07-07 |
| 1700091287 | Kelly Mccabe Ryan | Counselor | 27 Burgate St, Chepachet, RI 02814-2303 | 2007-05-10 |
| 1194806539 | Kelly Ryan | Physician Assistant | 263 Seventh Ave, 4b, Brooklyn, NY 11215 | 2006-10-18 |
| 1851360978 | Kelly Ann Ryan | Social Worker | 1021 Stuyve Scent Avenue, Union, NJ 07083 | 2006-03-14 |
| 1932748647 | Kelly Margaret Ryan | Behavior Technician | 102 S Tejon St Ste 1100, Colorado Springs, CO 80903-2253 | 2019-12-27 |
| 1730739038 | Kelly Lynn Ryan | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2019-09-18 |
| Street Address |
500 W CUMMINGS PARK SUITE 3900 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-6503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259163 | Massachusetts Medical & Physical Therapy Associates Inc. | Physical Therapist | 500 W Cummings Park, Suite 2100, Woburn, MA 01801-6503 | 2005-07-14 |
| 1902279789 | Focus Care, Inc. | Home Health | 500 W Cummings Park, Suite 2950, Woburn, MA 01801-6503 | 2015-11-03 |
| 1336518091 | Joshua Adle | Counselor | 500 W Cummings Park, Woburn, MA 01801-6503 | 2015-09-23 |
| 1023411352 | Nathaniel Deknatel | Counselor | 500 W Cummings Park, Woburn, MA 01801-6503 | 2014-10-01 |
| 1609276518 | Sara Eranio | Counselor | 500 W Cummings Park, Suite 3900, Woburn, MA 01801-6503 | 2014-08-27 |
| 1255731550 | Jennifer Hatalla | Counselor | 500 W Cummings Park, Woburn, MA 01801-6503 | 2014-08-25 |
| 1982012076 | Diana Lavancher | Social Worker | 500 W Cummings Park, Suite 3900, Woburn, MA 01801-6503 | 2014-08-01 |
| 1700294956 | Elysia Humphrey | Counselor | 500 W Cummings Park, Woburn, MA 01801-6503 | 2014-07-31 |
| 1336557677 | Kristina Marie Lessard | Counselor | 500 W Cummings Park, Suite 3900, Woburn, MA 01801-6503 | 2014-07-30 |
| 1699186049 | Marissa Kathleen Digilio | Counselor | 500 W Cummings Park, Suite 3900, Woburn, MA 01801-6503 | 2014-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699243139 | Amy Elizabeth Panichella | Social Worker | 13 Hilltop Ter, Woburn, MA 01801-3629 | 2018-11-02 |
| 1477020469 | Emily Medina | Social Worker | 3 Baldwin Green Cmn Ste 393, Woburn, MA 01801-1865 | 2018-10-27 |
| 1437634326 | Danielle Kay Angelson-welch | Social Worker | 17 Page Pl, Woburn, MA 01801-2512 | 2018-09-26 |
| 1578044814 | Tammy Pacyna | Social Worker | 800 W Cummings Park Ste 5000, Woburn, MA 01801-6356 | 2018-08-24 |
| 1184102386 | Matthew Mason | Social Worker | 11 Lydon Ct, Woburn, MA 01801-5511 | 2018-07-31 |
| 1588141253 | Jennifer Anne Darby | Social Worker | 8303 Inwood Dr, Woburn, MA 01801-5162 | 2018-07-25 |
| 1427470830 | Christina Brothers | Social Worker | 29 Chestnut St, Woburn, MA 01801-2903 | 2014-01-21 |
| 1740620004 | Eric Toussaint | Social Worker | 4 Place Ln, Woburn, MA 01801-2928 | 2013-07-01 |
| 1215175153 | Jessica E Smith | Social Worker | 95b Lowell St, Woburn, MA 01801-2245 | 2009-01-30 |
| 1447401088 | Lisa M Lynch | Social Worker | 155 New Boston St Ste U174, Woburn, MA 01801-6297 | 2008-10-01 |
| Find all providers in WOBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.