Individual provider · Type 1 NPI

Ryaan J. Mansouri, MSW, LCSW

Clinical Social Worker · West Lafayette, IN

NPI number 1306310677 Active

Practice location

1330 Win Hentschel Blvd Ste 222
West Lafayette, IN 47906-4160

Fax (765) 374-2752

Mailing address

61 Point W
West Lafayette, IN 47906-5075

Other practice locations

  • 206 N Oak St, Earl Park, IN 47942-8601 · (765) 237-9091

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34007499A (IN)

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 1306310677

Ryaan J. Mansouri, MSW, LCSW's National Provider Identifier is 1306310677, issued on Jan 18, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Lafayette, IN. The record was last updated on Mar 1, 2022.