1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Social Worker
  6. NPI Profile

JACQUELINE KATHLEEN RYAN
NPI 1538646120
Social Worker - Clinical in Rochester, NY

Active since July 26, 2018PECOS Enrolled
474 GREENLEAF MDWS, ROCHESTER, NY 14612(585) 737-0815 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 28, 2025, Feb 1, 2023, Jul 26, 2018 (3 updates tracked since 2018).

About Jacqueline Kathleen Ryan NPPES

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

JACQUELINE KATHLEEN RYAN (NPI 1538646120) is an individual clinical provider in Rochester, New York, licensed in New York (091998) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1538646120
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE KATHLEEN RYAN
Location Address474 GREENLEAF MDWSRochester, NY 14612-4425
Mailing Address474 Greenleaf MdwsRochester, NY 14612-4425 · (585) 737-0815
Phone(585) 737-0815
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 26, 2018
Last NPPES UpdateMay 28, 20253 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1538646120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 091998
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 101278 (NY)
474 GREENLEAF MDWS, Rochester, NY 14612
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Kathleen Ryan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436699071
PECOS Enrollment IDI20240910000582
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jacqueline Ryan's NPI number?

The NPI number for Jacqueline Ryan is 1538646120. It was assigned to this individual provider in the NPPES registry on July 26, 2018.

Where is Jacqueline Ryan located?

Jacqueline Ryan practices at 474 Greenleaf Mdws, Rochester, NY 14612. The listed phone number is (585) 737-0815.

What is Jacqueline Ryan's specialty?

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

Is Jacqueline Ryan enrolled in Medicare?

Yes. Jacqueline Ryan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Ryan was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.