Kelly Ryan Woods, MSW, LICSW is a
Social Worker - Clinical based in Olympia, Washington. Kelly Ryan Woods is licensed to practice in Washington (license number LW60560942) and his current practice location is
1015 4th Ave W Ste H, Olympia, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 328-1982.
NPI number for Kelly Ryan Woods is 1154749885 and his current mailing address is 8801 52nd Ave Sw Apt J201, Lakewood, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154749885.
Healthcare Provider's Profile
Full Name | Kelly Ryan Woods |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1015 4th Ave W Ste H, Olympia, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154749885
- Provider Enumeration Date: 03/31/2014
- Last Update Date: 11/04/2019
Medical Identifiers
Medical identifiers for Kelly Ryan Woods such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154749885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LMSW-31496 (Idaho) | Secondary |
101YM0800X | Counselor - Mental Health | CG60740446 (Washington) | Secondary |
103TC1900X | Psychologist - Counseling | LH60604130 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | SC60340940 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW60560942 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Ryan Woods is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Ryan Woods, MSW, LICSW 8801 52nd Ave Sw Apt J201, Lakewood, WA 98499-3180 Ph: (360) 402-2717 | Kelly Ryan Woods, MSW, LICSW 1015 4th Ave W Ste H, Olympia, WA 98502-5492 Ph: (360) 328-1982 |
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