National Provider Identifier
Jacqueline Kathleen Ryan
Jacqueline Kathleen Ryan is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 737-0815.
Profile Overview
- NPI
- 1538646120
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 26, 2018
- Last Updated
- May 28, 2025
Practice Location
- 474 Greenleaf Mdws
- Rochester, NY 14612-4425
Phone: (585) 737-0815
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1538646120
- Entity Type
- Individual
- Last Name
- Ryan
- First Name
- Jacqueline
- Middle Name
- Kathleen
- Mailing Street Address
- 474 Greenleaf Mdws
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-4425
- Mailing Country
- US
- Mailing Phone
- (585) 737-0815
- Practice Street Address
- 474 Greenleaf Mdws
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-4425
- Practice Country
- US
- Practice Phone
- (585) 737-0815
- Enumeration Date
- July 26, 2018
- Last Updated
- May 28, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 28, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)