| Ryan Black, LICSW | |
|
4710 40th Ave Sw # N315, Seattle, WA 98116-4674 | |
| (616) 886-0960 | |
| Not Available |
| Full Name | Ryan Black |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 4710 40th Ave Sw # N315, Seattle, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366969016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 61246774 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Psychological And Counseling Services Llc | 7719975085 | 204 |
| Entity Name | Western Psychological And Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629345731 PECOS PAC ID: 7719975085 Enrollment ID: O20110224000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Black, LICSW 4710 40th Ave Sw # N315, Seattle, WA 98116-4674 Ph: (616) 886-0960 | Ryan Black, LICSW 4710 40th Ave Sw # N315, Seattle, WA 98116-4674 Ph: (616) 886-0960 |
Jacqueline M. Kim, LICSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359760, Seattle, WA 98104 Phone: 206-744-8511 Fax: 206-744-2032 | |
Kathryn Amanda Lidgard, LSWAIC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2100 24th Ave S Ste 260, Seattle, WA 98144 Phone: 206-715-6051 | |
Ms. Molly Grogan, LSWAIC CDPT MHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Sw Holden St, Seattle, WA 98126 Phone: 206-933-7000 | |
Arianna Daniels, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4219 Sw Juneau St, Seattle, WA 98136 Phone: 301-356-1580 | |
Paige Hustead Law, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9800 4th Ave Ne, Seattle, WA 98115 Phone: 206-302-1200 | |
Tam T Bui, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1730 Minor Ave Ste 400, Seattle, WA 98101 Phone: 844-552-2734 | |
Mr. Michael H. Shaw, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Seattle, WA 98108 Phone: 206-277-1176 Fax: 206-768-5227 |