Kathryn S. Icenhower in Inglewood - Clinical
Kathryn S. Icenhower - NPI 1639202492
Kathryn S. Icenhower is a Clinical in Inglewood, California. Kathryn S. Icenhower practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathryn S. Icenhower is 1639202492. The last update date is 2007-07-08.
Kathryn S. Icenhower's current location address is 415 W Hillsdale St, Inglewood, California. You can contact this provider via phone number 3232425000 and fax number 3232425011. The mailing address for Kathryn S. Icenhower is 415 W Hillsdale St, Inglewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn S. Icenhower |
|---|---|
| Address | 415 W Hillsdale St, Inglewood, California |
| Phone Number | 3232425000 |
| Fax Number | 3232425011 |
| Sole Proprietor | N |
| Credentials | PHD, LCSW |
NPI Number Detail
| NPI Number | 1639202492 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 415 W Hillsdale St |
|---|---|
| City | Inglewood |
| State | California (CA) |
| Post Code | 903021123 |
| Phone Number | 3232425000 |
| Fax Number | 3232425011 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS12699 |
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Definition: 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, certif |
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What is the Kathryn S. Icenhower's unique identification number?
The Kathryn S. Icenhower has been assigned the NPI (National Provider Identifier) Number 1639202492 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Kathryn S. Icenhower?
The Kathryn S. Icenhower is physically situated at 415 W Hillsdale St, in the city of Inglewood, state of CA, with the postal code 903021123.
What is Kathryn S. Icenhower's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kathryn S. Icenhower's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Kathryn S. Icenhower receive the assignment of its 1639202492 from the Centers for Medicare & Medicaid Services?
The Kathryn S. Icenhower was issued its 1639202492 by the Centers for Medicare & Medicaid Services on 2007-03-13.
When was the information pertaining to Kathryn S. Icenhower most recently updated or revised?
The details related to Kathryn S. Icenhower, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC