Ryan Black, LICSW
NPI 1366969016 · Clinical Social Worker · Seattle, WA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ryan Black, LICSW is a Clinical Social Worker provider in Seattle, WA (NPI 1366969016).
Provider details
- NPI number
- 1366969016
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 61246774 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-08-24
- Last updated
- 2022-08-30
- Certified
- 2022-08-30
Frequently asked questions
- What is Ryan Black's NPI number?
- Ryan Black's National Provider Identifier (NPI) is 1366969016, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ryan Black's specialty?
- Ryan Black is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ryan Black located?
- Ryan Black's practice location on file with NPPES is 4710 40th Ave Sw # N315, Seattle, WA 98116-4674.
- What is Ryan Black's phone number?
- The practice phone number listed in the NPPES registry for Ryan Black is (616) 886-0960.
- Does Ryan Black accept Medicare?
- Ryan Black is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ryan Black's NPI active?
- Yes — Ryan Black's NPI (1366969016) is active in the NPPES registry as of the last update on 2022-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.