Ryan Bodine, LCSW
NPI 1255886966ActiveIndividual· Social Worker, Clinical· Hicksville, NY
Social Worker, Clinical (LCSW) in Hicksville, New York, trained at State University of New York at Stony Brook, School of Medicine (class of 2016). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1255886966 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Aug 23, 2016 |
| Last updated in NPPES | Apr 13, 2021 |
| Certified by provider | Apr 13, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 091020 | NY |
| Case Manager/Care Coordinator | 171M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Clinical Social Worker |
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