Healthcare Provider Details

I. General information

NPI: 1457386658
Provider Name (Legal Business Name): CHRISTINE M RYKIEL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6151 LAKE OSPREY DR STE 300
LAKEWOOD RANCH FL
34240-8436
US

IV. Provider business mailing address

6151 LAKE OSPREY DR STE 300
LAKEWOOD RANCH FL
34240-8436
US

V. Phone/Fax

Practice location:
  • Phone: 941-391-1399
  • Fax: 941-893-3756
Mailing address:
  • Phone: 941-391-1399
  • Fax: 941-893-3756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09540
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW10295
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: