Sean Ryan, LICSW | |
56 Old Farm Rd, Stowe, VT 05672-4434 | |
(802) 433-4134 | |
Not Available |
Full Name | Sean Ryan |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 56 Old Farm Rd, Stowe, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003367319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW11876 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | 089.0122958 (Vermont) | Primary |
Entity Name | Stowe Therapeutic Solutions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942920442 PECOS PAC ID: 3072999838 Enrollment ID: O20220930001685 |
Mailing Address | Practice Location Address |
---|---|
Sean Ryan, LICSW 40 Tamarack Ln, Waterbury Center, VT 05677-4415 Ph: (802) 433-4134 | Sean Ryan, LICSW 56 Old Farm Rd, Stowe, VT 05672-4434 Ph: (802) 433-4134 |
Holly D Ryan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 56 Old Farm Rd, Stowe, VT 05672 Phone: 802-760-7497 | |
Dawn A Palladino, LICSW, LADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 56 Old Farm Rd, Stowe, VT 05672 Phone: 802-249-1022 | |
Luke Smith, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 515 Moscow Rd, Stowe, VT 05672 Phone: 802-696-8900 |