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

Q: What is Ryan Ickes's NPI number?

The NPI number for Ryan Ickes is 1447540497. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Q: What is Ryan Ickes's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Ickes was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(323) 205-7088

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

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Other Providers at the Same Location NPPES 20

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

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