| Christopher Daniel Icenhour, LCSW | |
|
1400 Willow Ln, N Wilkesboro, NC 28659-3551 | |
| (336) 667-5151 | |
| Not Available |
| Full Name | Christopher Daniel Icenhour |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1400 Willow Ln, N Wilkesboro, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861824682 | NPI | - | NPPES |
| 1861824682 | Medicaid | NC | |
| 19G4X | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C011464 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Daniel Icenhour, LCSW 284 Executive Park Dr, Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100 | Christopher Daniel Icenhour, LCSW 1400 Willow Ln, N Wilkesboro, NC 28659-3551 Ph: (336) 667-5151 |
Mrs. Roseann Pawlyszyn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 204 Jefferson St Ste 106, N Wilkesboro, NC 28659 Phone: 336-838-1644 Fax: 336-667-7720 | |
Giovanna Gonzalez Benson, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1430 Willow Ln, West Park C61-2, N Wilkesboro, NC 28659 Phone: 336-667-5151 |