RYAN KEITH ICKES LCSW
NPI 1447540497
Social Worker - Clinical in Santa Clara, CA

Active since April 12, 2011
5201 GREAT AMERICA PKWY STE 320, SANTA CLARA, CA 95054(323) 205-7088(833) 419-0181 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ryan Keith Ickes Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN KEITH ICKES LCSW (NPI 1447540497) is an individual clinical provider in Santa Clara, California, licensed in Virginia (0904007624) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1447540497
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRYAN KEITH ICKESCredential: LCSW
Location Address5201 GREAT AMERICA PKWY STE 320Santa Clara, CA 95054-1140
Mailing Address13313 Diamond Ridge DrMidlothian, VA 23112-8340 · (804) 615-0421
Fax(833) 419-0181
Sole ProprietorNo
Enumeration DateApril 12, 2011
Last NPPES UpdateMay 29, 2024
NPPES CertifiedMay 29, 2024
NPI 1447540497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in VA · 0904007624 Licensed in CA · 122497
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

5201 GREAT AMERICA PKWY STE 320, Santa Clara, CA 95054

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
In Home Supportive Care
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Marriage & Family Therapist
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Psychiatry & Neurology (Psychiatry)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Social Worker (Clinical)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Nurse Practitioner (Psychiatric/Mental Health)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Marriage & Family Therapist
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Social Worker (Clinical)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447540497, enumerated as an "individual" on April 12, 2011.

The provider is located at 5201 GREAT AMERICA PKWY STE 320 SANTA CLARA, CA 95054 and the phone number is (323) 205-7088.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.