Amanda Icenhower, MSW, LCSW - Clinical Social Worker in White City, OR

Amanda Icenhower, MSW, LCSW is a Social Worker based in White City, Oregon. Amanda Icenhower is licensed to practice in Oregon (license number A4107) and her current practice location is 8495 Crater Lake Hwy, 11cm, White City, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 826-2111.

NPI number for Amanda Icenhower is 1265895767 and her current mailing address is 8495 Crater Lake Hwy, White City, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265895767.

Contact Information

Amanda Icenhower, MSW, LCSW
8495 Crater Lake Hwy, 11cm,
White City, OR 97503-3011
(541) 826-2111
Not Available



Healthcare Provider's Profile

Full NameAmanda Icenhower
GenderFemale
SpecialitySocial Worker
Location8495 Crater Lake Hwy, White City, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265895767
  • Provider Enumeration Date: 04/01/2016
  • Last Update Date: 04/02/2018

Medical Identifiers

Medical identifiers for Amanda Icenhower such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265895767NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical L7414 (Oregon)Secondary
104100000XSocial Worker A4107 (Oregon)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. Amanda Icenhower 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 AddressPractice Location Address
Amanda Icenhower, MSW, LCSW
8495 Crater Lake Hwy,
White City, OR 97503-3011

Ph: (541) 826-2111
Amanda Icenhower, MSW, LCSW
8495 Crater Lake Hwy, 11cm,
White City, OR 97503-3011

Ph: (541) 826-2111

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› Verified 4 days ago


Social Worker in White City, OR

Whitney Anne Bondshu, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8385 Division Rd, White City, OR 97503
Phone: 541-826-5853    
Mr. Kevin Leonard Williams, MSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8495 Crater Lake Hwy, White City, OR 97503
Phone: 541-826-2111    Fax: 541-830-7580
Ms. Natalie Mccarthy, LISW-S
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8495 Crater Lake Hwy, Mail Stop 116b, White City, OR 97503
Phone: 541-826-2111    
Tracy Dekelboum, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8495 Crater Lake Hwy, White City, OR 97503
Phone: 541-830-7423    
Danica Geiszler, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8495 Crater Lake Hwy, White City, OR 97503
Phone: 541-826-2111    Fax: 541-830-7580
Shawna Stucke, LCSW L8462
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8495 Crater Lake Hwy, White City, OR 97503
Phone: 541-826-2111    
Jane Broud, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8495 Crater Lake Hwy, White City, OR 97503
Phone: 541-826-2111    Fax: 541-830-7528

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