Individual provider · Type 1 NPI

Ryan Michael Maddock, MSW, LICSW

Clinical Social Worker · Washington, DC

NPI number 1174295653 Active

Practice location

1831 2nd St NE Unit 407
Washington, DC 20002-1596

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC50079172 (DC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1174295653

Ryan Michael Maddock, MSW, LICSW's National Provider Identifier is 1174295653, issued on Oct 2, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, DC. The record was last updated on Oct 2, 2021.