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MR. RYAN ANTHONY SAMPLE ACSW
NPI 1427625888
Social Worker - Clinical in Inglewood, CA

Active since June 04, 2021
2930 W IMPERIAL HWY STE 300, INGLEWOOD, CA 90303(323) 569-1610 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Ryan Anthony Sample Acsw NPPES

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

MR. RYAN ANTHONY SAMPLE ACSW (NPI 1427625888) is an individual clinical provider in Inglewood, California, licensed in California (80735) and active in the NPI registry since June 2021. He maintains a secondary practice location in Watts.

NPPES Registry Identity

NPI1427625888
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. RYAN ANTHONY SAMPLECredential: ACSW
Location Address2930 W IMPERIAL HWY STE 300Inglewood, CA 90303-3141
Mailing Address2930 W Imperial Hwy Ste 300Inglewood, CA 90303-3141 · (323) 569-1610
Phone(323) 569-1610
Sole ProprietorNo
Enumeration DateJune 4, 2021
NPPES CertifiedJune 4, 2021
✔ NPI 1427625888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 80735
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2930 W IMPERIAL HWY STE 300, Inglewood, CA 90303
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Secondary Practice Location 1

Location 110221 Compton Ave Ste 105Watts, CA 90002-2805 · Phone (323) 569-1610

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 Ryan Sample's NPI number?

The NPI number for Ryan Sample is 1427625888. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Ryan Sample located?

Ryan Sample practices at 2930 W Imperial Hwy Ste 300, Inglewood, CA 90303. The listed phone number is (323) 569-1610.

What is Ryan Sample's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Ryan Sample was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.