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Ryan Keith Ickes, LCSW

Clinical · Santa Clara

NPI 1447540497

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Ryan Keith Ickes’s office at (323) 205-7088 to ask if they take your plan before you enroll.

Professional record

NPI
1447540497
Licence
VA 0904007624
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 1041C0700X (1041C0700X)
Mailing address
13313 Diamond Ridge Dr, Midlothian, VA, 23112
NPI first listed
2011-04-12
NPI last updated
2024-05-29
NPI record certified
2024-05-29

This is when the NPI record was last certified, not a medical board exam.