Provider Demographics
NPI:1902248487
Name:TINGEY, RYAN LOWELL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:LOWELL
Last Name:TINGEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:RYAN
Other - Middle Name:
Other - Last Name:TINGEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:247 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:UT
Mailing Address - Zip Code:84737-2183
Mailing Address - Country:US
Mailing Address - Phone:435-705-3656
Mailing Address - Fax:
Practice Address - Street 1:121 W TABERNACLE ST
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3338
Practice Address - Country:US
Practice Address - Phone:435-705-3656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT552248235011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical