Vivian Ryu, LCSW
NPI 1700397411ActiveIndividual· Social Worker, Clinical· Sierra Vista, AZ
Social Worker, Clinical (LCSW) in Sierra Vista, Arizona, licensed in AZ, with an NPI issued in October 2017. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1700397411 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Oct 20, 2017 |
| Last updated in NPPES | Mar 20, 2020 |
| Certified by provider | Mar 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW-16880 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AZ) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 34 clinical social workers in Sierra Vista · All clinical social workers in Arizona