Ivy Ickes, LCSW is a
Social Worker - Clinical based in Houston, Texas. Ivy Ickes is licensed to practice in * (Not Available) (license number ) and her current practice location is
4131 S Braeswood Blvd, Houston, Texas. She can be reached at her office (for appointments etc.) via phone at
(713) 667-9336.
NPI number for Ivy Ickes is 1720312234 and her current mailing address is 4331 Robertson St, Houston, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720312234.
Healthcare Provider's Profile
| Full Name | Ivy Ickes |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4131 S Braeswood Blvd, Houston, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720312234
- Provider Enumeration Date: 09/30/2009
- Last Update Date: 04/01/2022
Medical Identifiers
Medical identifiers for Ivy Ickes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720312234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Ivy 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 |
|---|
Ivy Ickes, LCSW
4331 Robertson St,
Houston, TX 77009-4127
Ph: (832) 795-1435 | Ivy Ickes, LCSW
4131 S Braeswood Blvd,
Houston, TX 77025-3306
Ph: (713) 667-9336 |
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