Individual provider · Type 1 NPI

Kristen Ryder, SSP, LLMSW-C

Clinical Social Worker · Traverse City, MI

NPI number 1073119632 Active

Practice location

333 W Grandview Pkwy Ste 403
Traverse City, MI 49684-2298

Mailing address

2632 Crossing Cir # 1012
Traverse City, MI 49684-7930

Specialties and licenses

TaxonomyCodeLicense
School Psychologist 103TS0200XSP0000000792258 (MI)
Clinical Social Worker Primary 1041C0700X6851117943 (MI)

Clinical Social Worker: 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 interpers…

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About NPI 1073119632

Kristen Ryder, SSP, LLMSW-C's National Provider Identifier is 1073119632, issued on Dec 9, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Traverse City, MI. The record was last updated on Jan 22, 2026.