MEDICARE: DANIELLE MARISSA RYER LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	SW143599	PA

General Provider Information

NPI Number	:	1093443525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE MARISSA RYER LSW

Provider Business Mailing Address
First Line	:	116 E PITTSBURGH ST STE 201
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-3312
Country	:	US
Telephone Number	:	724-201-1963
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 E PITTSBURGH ST STE 201
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-3312
Country	:	US
Telephone Number	:	724-834-0420
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2022
Last Update Date	:	04/08/2026

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