Individual
MATTHEW ROBERT RADICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1341 W MOCKINGBIRD LN # 1242, DALLAS, TX 75247-6913
(214) 456-2469
Mailing address
1341 W MOCKINGBIRD LN STE 1242, DALLAS, TX 75247-6913
(214) 456-2469
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110618
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2426-2426A
TX
Other
Enumeration date
08/07/2025
Last updated
05/13/2026
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