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

Ryan James Kelly

Individual provider Social Worker · NPI 1013590272

Ryan James Kelly is a Clinical Social Worker in Ontario, Oregon. Qualified in 2022, 4 years ago. Practices with Lifeways Inc, a 17-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

702 Sunset Dr
Ontario, OR 97914-3121
Phone: (541) 889-9176
Fax: (541) 889-7873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1030 E Fleetwood Ct, Boise, ID 83706-5176 — (208) 777-5122

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1013590272
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2021
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address702 Sunset Dr, Ontario, OR 97914-3121

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lifeways Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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