Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edmond Ryan III, LICSW

Individual provider Clinical Social Worker · NPI 1295181782

Edmond Ryan III, LICSW is a Clinical Social Worker in Port Angeles, Washington. Qualified in 2012, 14 years ago. Practices with Peninsula Behavioral Health, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
14
Licensed in
WA
In the registry since
2016
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

118 E 8th St
Port Angeles, WA 98362-6129
Phone: (360) 457-0493
Fax: (360) 457-0493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 170 Joyce Piedmont Rd, Port Angeles, WA 98363-8639 — (253) 400-4035

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60622065 (WA)

Record details

NPI number1295181782
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 13, 2016
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address118 E 8th St, Port Angeles, WA 98362-6129

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Peninsula Behavioral Health — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Angeles