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

Ryan Keith Ickes, LCSW

Individual provider Clinical Social Worker · NPI 1447540497

Ryan Keith Ickes, LCSW is a Clinical Social Worker in Santa Clara, California. Licensed in California and Virginia. Registered with an NPI since 2011.

Licensed in
CA, VA
In the registry since
2011
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Phone: (323) 205-7088
Fax: (833) 419-0181
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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 0904007624 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 122497 (CA)

Record details

NPI number1447540497
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 12, 2011
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

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