Provider Demographics
NPI:1023901600
Name:TAPPE, RYAN WALTER (LCSW)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:WALTER
Last Name:TAPPE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 PROVIDENCE WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-4082
Mailing Address - Country:US
Mailing Address - Phone:412-445-8832
Mailing Address - Fax:
Practice Address - Street 1:2957 RIDGE RD
Practice Address - Street 2:
Practice Address - City:SOUTH PARK
Practice Address - State:PA
Practice Address - Zip Code:15129-8824
Practice Address - Country:US
Practice Address - Phone:724-304-0990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0249131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty