National Provider Identifier
Nannette Ryan, LCSW
Nannette Ryan, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Brockport, NY and a listed phone number of (585) 797-9694.
Profile Overview
- NPI
- 1093368474
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 24, 2019
- Last Updated
- November 05, 2024
Practice Location
- 310 Chadlee Dr
- Brockport, NY 14420-9349
Phone: (585) 797-9694
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1093368474
- Entity Type
- Individual
- Last Name
- Ryan
- First Name
- Nannette
- Credential
- LCSW
- Mailing Street Address
- 310 Chadlee Dr
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-9349
- Mailing Country
- US
- Mailing Phone
- (585) 797-9694
- Practice Street Address
- 310 Chadlee Dr
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-9349
- Practice Country
- US
- Practice Phone
- (585) 797-9694
- Enumeration Date
- July 24, 2019
- Last Updated
- November 05, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X), Mental Health Counselor (101YM0800X)