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

Ryan Wines, LCSW

Individual provider Clinical Social Worker · NPI 1043078959

Ryan Wines, LCSW is a Clinical Social Worker in Los Angeles, California. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024
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

11301 Wilshire Blvd Lot 10
Los Angeles, CA 90073-1003
Phone: (310) 714-4652
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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 0904015449 (VA)

Record details

NPI number1043078959
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 6, 2024
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

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