National Provider Identifier
Ryan Phillip Lavender, MSW
Ryan Phillip Lavender, MSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 216-6826.
Profile Overview
- NPI
- 1780977488
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 27, 2011
- Last Updated
- March 14, 2025
Practice Location
- 100 Washington St
- Elmira, NY 14901-2849
Phone: (607) 216-6826
Mailing Address
- 100 Washington St
- Elmira, NY 14901-2898
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1780977488
- Entity Type
- Individual
- Last Name
- Lavender
- First Name
- Ryan
- Middle Name
- Phillip
- Name Prefix
- Mr.
- Credential
- MSW
- Mailing Street Address
- 100 Washington St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-2898
- Mailing Country
- US
- Mailing Phone
- (607) 216-6826
- Practice Street Address
- 100 Washington St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-2849
- Practice Country
- US
- Practice Phone
- (607) 216-6826
- Enumeration Date
- May 27, 2011
- Last Updated
- March 14, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 14, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)