Individual provider · Type 1 NPI

Taylor Lynn Ryan, LCSW

Clinical Social Worker · Fort Drum, NY

NPI number 1194472431 Active

Practice location

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603

Call (315) 772-4435 Map

Mailing address

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000XP017937 (NC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700XC017465 (NC)

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 1194472431

Taylor Lynn Ryan, LCSW's National Provider Identifier is 1194472431, issued on Mar 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Drum, NY. The record was last updated on Jun 16, 2026.