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NPI Code Detail

MEDICARE: LAUREN RYAN LCSW

MEDICARE:   LAUREN  RYAN  LCSW
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
1104100000XSocial Worker69351TX

General Provider Information

NPI Number : 1790670479
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN RYAN LCSW
Provider Business Mailing Address
First Line : 2117 W NATHAN LOWE RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-4576
Country : US
Telephone Number : 817-658-7299
Fax Number :
Provider Business Practice Location Address
First Line : 2421 W 7TH ST STE 105
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-2325
Country : US
Telephone Number : 817-482-5663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2025
Last Update Date : 06/02/2026

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Directions to “ LAUREN RYAN LCSW” Practice Location

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