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JESSICA RYAN LGSW
NPI 1194146456
Social Worker in Baltimore, MD

Active since January 03, 2014Opted out of Medicare · through Feb 2, 2028
707 N BROADWAY, BALTIMORE, MD 21205(443) 923-9200(443) 923-1895 Get Directions Write a Review

NPPES record last updated: January 3, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jessica Ryan Lgsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA RYAN LGSW (NPI 1194146456) is an individual social worker in Baltimore, Maryland, licensed in Maryland (14977) and active in the NPI registry since January 2014. She has opted out of Medicare through February 2, 2028.

NPPES Registry Identity

NPI1194146456
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJESSICA RYANCredential: LGSW
Location Address707 N BROADWAYBaltimore, MD 21205-1832
Mailing Address2931 E Biddle StBaltimore, MD 21213-3939 · (443) 923-1886 · Fax (443) 923-1875
Phone(443) 923-9200
Fax(443) 923-1895
Sole ProprietorNo
Enumeration DateJanuary 3, 2014
✔ NPI 1194146456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MD · 14977
Definition
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.
707 N BROADWAY, Baltimore, MD 21205
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Ryan Lgsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 2, 2024 through February 2, 2028.

Opt-Out Effective DateFebruary 2, 2024
Opt-Out In Effect ThroughFebruary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHRISTINE ROCHE PTA
Physical Therapy Assistant
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9289
RHONDA G STALLINGS PT
Physical Therapist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Baltimore City (443) 923-9200
DR. STEPHANIE A LEE PSY.D.
Psychologist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Baltimore City (443) 923-9400
ANNA DITKOFF DORSEY LGSW
Social Worker
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9200
TIFFANY WEN-TING LIN PSY.D
Psychologist (Clinical)
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9200
MS. BRIDGET GIBBONS M.A.
Behavior Analyst
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE- BEHAVIORAL PSYCHOLOGY
BALTIMORE, MD 21205
Baltimore City (443) 923-9532
EMILY KATHRYN DRESCHEL M.ED., CCC-SLP
Speech-Language Pathologist
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-1872
SABRINA HARRISON DPT
Physical Therapist
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9289

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Ryan's NPI number?

The NPI number for Jessica Ryan is 1194146456. It was assigned to this individual provider in the NPPES registry on January 3, 2014.

Where is Jessica Ryan located?

Jessica Ryan practices at 707 N Broadway, Baltimore, MD 21205. The listed phone number is (443) 923-9200.

What is Jessica Ryan's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jessica Ryan enrolled in Medicare?

No. Jessica Ryan has opted out of Medicare through February 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Ryan was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.