RYAN JAMES GOETTSCH (LISW-S) – Clinical Social Worker, NPI 1215485990

RYAN JAMES GOETTSCH (LISW-S) is a healthcare provider. based in Boardman, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S. They hold a License No. S.1610121-TRNE (OH). The NPI Number for RYAN JAMES GOETTSCH (LISW-S) is 1215485990

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
RYAN JAMES GOETTSCH (LISW-S)
NPI
1215485990
Phone
(330) 501-3224
Address
7426 E HUNTINGTON DR
Enumeration Date
12 September 2016
Last Update Date
4 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307980491
Graduation Year
2018 (8 years ago)
PAC ID
7012321003
Group Practice PAC ID
7810350105
Professional Enrollment ID
I20210203000855
Address ID
OH446014686AL1207XSTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for RYAN JAMES GOETTSCH (LISW-S)

  • 7426 E HUNTINGTON DR

    APT 1

    BOARDMAN, OH 445124072

    Phone: (330) 501-3224

    Type: Mailing

  • 1325 5TH AVE

    YOUNGSTOWN, OH 445041702

    Phone: (330) 743-1015

    Fax: (330) 743-1025

    Type: Location

  • 725 BOARDMAN CANFIELD RD STE M

    BOARDMAN, OH 445124380

    Phone: (330) 402-9341

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210203000855IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44512)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810350105View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorNC
Mental Health CounselorOH
Mental Health CounselorOH
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorOH
Nurse PractitionerNC
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the standard ID for RYAN JAMES GOETTSCH (LISW-S) in the U.S.?
In the U.S., RYAN JAMES GOETTSCH (LISW-S) is identified by NPI 1215485990.
Is RYAN JAMES GOETTSCH (LISW-S) currently accepting referrals based on NPI status?
Registry metadata lists RYAN JAMES GOETTSCH (LISW-S) as active.
Which specialty label fits RYAN JAMES GOETTSCH (LISW-S)?
NPPES ties RYAN JAMES GOETTSCH (LISW-S) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is RYAN JAMES GOETTSCH (LISW-S) tied to Boardman, Ohio?
If you are local to Boardman, Ohio, RYAN JAMES GOETTSCH (LISW-S) may be relevant to your search.
Who maintains RYAN JAMES GOETTSCH (LISW-S)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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