NPI 1003367319

Sean Ryan, LICSW

Practitioner Clinical Social Worker Stowe, VT

Practice location

Address: 56 Old Farm Rd, Stowe, VT 05672-4434
Phone: (802) 433-4134
Mailing address: 40 Tamarack Ln, Waterbury Center, VT 05677-4415

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 089.0122958 (VT)

Other Social Worker providers in Vermont →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence SW11876 (FL)

Registry record

NPI: 1003367319
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2016
Record last updated: 26 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.