MS. SHANNYN LEA RYAN LCSW
NPI 1790341485
Social Worker - Clinical in Wampsville, NY

Q: What is Shannyn Ryan's NPI number?

The NPI number for Shannyn Ryan is 1790341485. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Q: What is Shannyn Ryan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannyn Ryan was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 17, 2019PECOS EnrolledAccepts Medicare Assignment

138 N COURT ST, WAMPSVILLE, NY 13163(315) 366-2327(315) 366-2599 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2023, Jan 13, 2021, May 17, 2019 (3 updates tracked since 2019).

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About Ms. Shannyn Lea Ryan Lcsw NPPES

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

MS. SHANNYN LEA RYAN LCSW (NPI 1790341485) is an individual clinical provider in Wampsville, New York, licensed in New York (095983) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1790341485

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. SHANNYN LEA RYANCredential: LCSW

Location Address138 N COURT STWampsville, NY 13163-7714

Mailing Address255 Homecroft RdSyracuse, NY 13206-3042 · (315) 706-8006

Phone(315) 366-2327

Fax(315) 366-2599

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 17, 2019

Last NPPES UpdateAugust 25, 20233 updates tracked since enumeration

NPPES CertifiedAugust 25, 2023

✔ NPI 1790341485 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 · 095983

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 106060-1 (NY)

138 N COURT ST, Wampsville, NY 13163

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Shannyn Lea Ryan Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557715935

PECOS Enrollment IDI20231004001225

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.

Medicare Billing Reassignment

Medicare enrollment records show Shannyn Ryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Madison County

0.7 mi

Mental Health (Including Community Mental Health Center)

138 NORTH COURT STREET
Wampsville, NY 13163

Reassigned Medicare billing, New York enrollment
18 clinicians in this Medicare group

NPI 1689780546 (315) 366-2327

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13163 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.

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.

LEAH WAY LMSW

Social Worker