MR. RYAN LEE THOMASON BA NPI 1316134968

NPI Information

NPI: 1316134968
Provider Name: MR. RYAN LEE THOMASON, BA
Classification: Social Worker - 1041S0200X
Entity Type: Individual

Specialization: School

Address:
2351 W 12 MILE RD
BERKLEY, MI
ZIP 48072
Phone: (248) 544-4006
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MR. Ryan Lee Thomason, BA is a school social worker in Berkley, MI. MR. Ryan Lee Thomason, BA NPI is 1316134968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2351 W 12 MILE RD
BERKLEY, MI
ZIP 48072-826
Phone: (248) 544-4006
Fax: (248) 544-4113

The enumeration date for this NPI number is 9/27/2007 and was last updated on 9/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041S0200X	Social Worker	School			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1883825	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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