RYAN FREDERICK (NPI# 1780297515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780297515 |
| Entity Type | Individual |
| Full Name | RYAN FREDERICK |
| Practice Address |
1115 Ball Ave Ne Bldg A Grand Rapids MI 49505-5904 |
| Mailing Address |
10294 42nd Ave Apt 253 Allendale MI 49401-9301 |
| Practice Telephone | 6164567775 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Marwood Dr, Lancaster, KY 404447464 | 5208910303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902096498 | Ryan M Frederick | Counselor | 515 Enterprise Dr 300, Lowell, AR 72745-8982 | 2007-07-31 |
| 1164870630 | Ryan Frederick | Registered Nurse | 401 New Karner Rd, Albany, NY 12205-3840 | 2016-05-25 |
| 1902111743 | Ryan Frederick | Pharmacist | 55 W Apache Trl, Apache Junction, AZ 85120-3412 | 2010-08-17 |
| Street Address |
1115 BALL AVE NE BLDG A |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093943169 | Joshua Colby | Counselor | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2009-06-29 |
| 1730795972 | Beth Anne Conrad | Counselor | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2020-09-22 |
| 1043824527 | Alissa Langan | Social Worker | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2020-09-02 |
| 1679185425 | Brenda Byers | Counselor | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2020-08-21 |
| 1588280044 | Eliza Glen Beird | Peer Specialist | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2020-06-22 |
| 1669096046 | Giovanni Hernandez | Social Worker | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2020-06-02 |
| 1710501366 | Katlyn Johns | Social Worker | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2020-05-29 |
| 1073150223 | Hannah Hormann | Social Worker | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2019-12-06 |
| 1528611316 | Emily Averton | Social Worker | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2019-07-20 |
| 1720630288 | Justin Noble Brockschmidt | Social Worker | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173595 | Laura Ann Dillivan | Social Worker | 1545 Cole Ave Ne, Grand Rapids, MI 49505-5026 | 2020-10-29 |
| 1912510033 | Alexandra Burke Hagerty | Social Worker | 1047 Wealthy St Se, Grand Rapids, MI 49506-1551 | 2020-08-28 |
| 1124643689 | Lavange Barth LLC | Social Worker | 400 Monroe Ave Nw Ste 400, Grand Rapids, MI 49503-1476 | 2020-06-10 |
| 1962026641 | Maya Louise Williams | Social Worker | 1101 Ball Ave Ne Bldg D, Grand Rapids, MI 49505-5904 | 2020-05-29 |
| 1720618242 | Terri Lynn Ingram | Social Worker | 1030 Sunrise Ln Nw, Grand Rapids, MI 49534-3679 | 2020-01-23 |
| 1528698206 | Kristen Zolen | Social Worker | 3310 Eagle Park Dr Ne, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1437789120 | Ann Louise Przybysz | Social Worker | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1649810276 | Dana Harrison | Social Worker | 500 Fulton St E Apt 303, Grand Rapids, MI 49503-4491 | 2020-01-12 |
| 1336781939 | Samantha L Klokkert | Social Worker | 2013 Eastcastle Dr Se Ste B, Grand Rapids, MI 49508-8873 | 2019-10-15 |
| 1952958191 | Morgan Fegel | Social Worker | 2040 E Beltline Ave Ne, Grand Rapids, MI 49525-9716 | 2019-08-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on RYAN FREDERICK.
| 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.