KELLY RYAN WOODS (MSW, LICSW) – Social Worker, NPI 1154749885

KELLY RYAN WOODS (MSW, LICSW) is a healthcare provider. based in Lakewood, Washington. specializing in Social Worker. They hold the professional credentials MSW, LICSW. They hold a License No. CG60740446 (WA). The NPI Number for KELLY RYAN WOODS (MSW, LICSW) is 1154749885

Main info

Male
Sole Proprietor
Name
KELLY RYAN WOODS (MSW, LICSW)
NPI
1154749885
Phone
(360) 402-2717
Address
8801 52ND AVE SW APT J201
Enumeration Date
31 March 2014
Last Update Date
3 January 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:12State licenses:4Digital endpointsOther names

Provider Addresses for KELLY RYAN WOODS (MSW, LICSW)

  • 8801 52ND AVE SW APT J201

    LAKEWOOD, WA 984993180

    Phone: (360) 402-2717

    Type: Mailing

  • 18727 108TH AVE E

    PUYALLUP, WA 983745673

    Phone: (360) 402-2717

    Type: Mailing

  • 325 E PIONEER

    PUYALLUP, WA 983723265

    Phone: (253) 697-8400

    Fax: (253) 697-3730

    Type: Location

  • 1015 4TH AVE W STE H

    OLYMPIA, WA 985025492

    Phone: (360) 328-1982

    Type: Location

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: 2024-12-31

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
I20241231003043IClinical Social WorkerWATBD

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

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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 98499)

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Reviews

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Frequently asked questions

What federal number belongs to KELLY RYAN WOODS (MSW, LICSW)?
The federal identifier for KELLY RYAN WOODS (MSW, LICSW) is NPI 1154749885.
Is KELLY RYAN WOODS (MSW, LICSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KELLY RYAN WOODS (MSW, LICSW)'s specialty in plain language?
Clinically, the directory lists KELLY RYAN WOODS (MSW, LICSW) with Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place KELLY RYAN WOODS (MSW, LICSW)?
The snapshot lists Lakewood, Washington for KELLY RYAN WOODS (MSW, LICSW); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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