Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. James Joseph Ryan, MSWLCSW

Individual provider Clinical Social Worker · NPI 1861575987

Mr. James Joseph Ryan, MSWLCSW is a Clinical Social Worker in Rockford, Illinois. Qualified in 1968, 58 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
58
Licensed in
IL
In the registry since
2006
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Practice location Address checks out

6072 Brynwood Drive James L Ryan Msw Lcsw Ste 105
Rockford, IL 61114
Phone: (815) 398-7483
Fax: (815) 798-2116
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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 149000739 (IL)

Record details

NPI number1861575987
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLCSW
Sole proprietorYes
NPI enumeratedOctober 23, 2006
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1968 (58 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford