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

Individual provider Clinical Social Worker · NPI 1174295653

Ryan Michael Maddock, MSW, LICSW is a Clinical Social Worker in Washington, District of Columbia. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2021
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

1831 2nd St NE Unit 407
Washington, DC 20002-1596
Phone: (724) 518-1312
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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 LC50079172 (DC)

Record details

NPI number1174295653
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedOctober 2, 2021
Last updated in NPPESOctober 2, 2021
Certification dateOctober 2, 2021

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