Individual provider · Type 1 NPI

Matthew Robert Radican, LCSW

Clinical Social Worker · Dallas, TX

NPI number 1205711322 Active

Practice location

1341 W Mockingbird Ln # 1242
Dallas, TX 75247-6913

Mailing address

1341 W Mockingbird Ln Ste 1242
Dallas, TX 75247-6913

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X110618 (TX)

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 1205711322

Matthew Robert Radican, LCSW's National Provider Identifier is 1205711322, issued on Aug 7, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dallas, TX. The record was last updated on May 13, 2026.