Carron Ickes, LSW, CDCA is a
Social Worker based in Dover, Ohio. Carron Ickes is licensed to practice in Ohio (license number 1440286) and her current practice location is
897 E Iron Ave, Dover, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 343-5555.
NPI number for Carron Ickes is 1902203581 and her current mailing address is 897 E Iron Ave, Dover, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902203581.
Healthcare Provider's Profile
| Full Name | Carron Ickes |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 897 E Iron Ave, Dover, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1902203581
- Provider Enumeration Date: 11/26/2014
- Last Update Date: 11/26/2014
Medical Identifiers
Medical identifiers for Carron Ickes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902203581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 060327 (Ohio) | Secondary |
| 104100000X | Social Worker | 1440286 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carron Ickes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carron Ickes, LSW, CDCA
897 E Iron Ave,
Dover, OH 44622-2030
Ph: (330) 343-5555 | Carron Ickes, LSW, CDCA
897 E Iron Ave,
Dover, OH 44622-2030
Ph: (330) 343-5555 |
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