Ryan Keith Ickes, LCSW is a
Social Worker - Clinical based in Amelia, Virginia. Ryan Keith Ickes is licensed to practice in Virginia (license number 0904007624) and his current practice location is
9101 Washington Street, Amelia, Virginia. He can be reached at his office (for appointments etc.) via phone at
(804) 561-5057.
NPI number for Ryan Keith Ickes is 1447540497 and his current mailing address is Po Box 293, Amelia, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447540497.
Healthcare Provider's Profile
Full Name | Ryan Keith Ickes |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 9101 Washington Street, Amelia, Virginia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447540497
- Provider Enumeration Date: 04/12/2011
- Last Update Date: 04/12/2011
Medical Identifiers
Medical identifiers for Ryan Keith Ickes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447540497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0904007624 (Virginia) | 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. Ryan Keith 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 |
Ryan Keith Ickes, LCSW Po Box 293, Amelia, VA 23002 Ph: (804) 561-5057 | Ryan Keith Ickes, LCSW 9101 Washington Street, Amelia, VA 23002 Ph: (804) 561-5057 |
Reviews and Comments