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

Individual provider Clinical Social Worker · NPI 1366969016

Ryan Black, LICSW is a Clinical Social Worker in Seattle, Washington. Qualified in 2016, 10 years ago. Practices with Western Psychological and Counseling Services LLC, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2017
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

4710 40th Ave SW # N315
Seattle, WA 98116-4674
Phone: (616) 886-0960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 61246774 (WA)

Record details

NPI number1366969016
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 24, 2017
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Western Psychological And Counseling Services Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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