Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Kathleen Ryan

Individual provider Social Worker · NPI 1538646120

Jacqueline Kathleen Ryan is a Clinical Social Worker in Rochester, New York. Qualified in 2017, 9 years ago. Practices with Presence Sealy Counseling and Development Licensedclinicalservicespllc, a 9-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

474 Greenleaf Mdws
Rochester, NY 14612-4425
Phone: (585) 737-0815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 091998 (NY)
Social Worker Taxonomy 104100000X · Licence 101278 (NY)

Record details

NPI number1538646120
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2018
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Presence Sealy Counseling And Development Licensedclinicalservicespllc — 9 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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