RYAN KEITH ICKES (NPI# 1447540497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447540497 |
| Entity Type | Individual |
| Full Name | RYAN KEITH ICKES |
| Credential | LCSW |
| Practice Address |
9101 Washington Street Amelia VA 23002 |
| Mailing Address |
Po Box 293 Amelia VA 23002 |
| Practice Telephone | 8045615057 |
| Practice Fax Number | 4343929221 |
| Mailing Telephone | 8045615057 |
| Mailing Fax Number | 4343929221 |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904007624 | VA | Behavioral Health & Social Service Providers |
| Street Address |
9101 WASHINGTON STREET |
| City | AMELIA |
| State | VA |
| Zip Code | 23002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013451269 | Travis Mueller, Dds | Dentist | 16320 Goodes Bridge Rd, Amelia Court House, VA 23002 | 2016-12-07 |
| 1811256787 | Southern Dominion Health System, Inc. | Clinic/Center | 8830 Virginia Street, Amelia, VA 23002 | 2012-05-11 |
| 1619118403 | Michele Monday Donoghue | Nurse Practitioner | 8631 Namozine Road, Amelia, VA 23002 | 2009-03-09 |
| 1811058449 | Jennifer Reed Mueller | Dentist | 16320 Goodes Bridge Rd., Amelia, VA 23002 | 2006-12-13 |
| 1881615458 | Carmen E Greiner | Counselor | Church Street & Washington Street, Amelia, VA 23002 | 2006-07-21 |
| 1194701177 | Leatha F Boyles | Nurse Practitioner | 8920 Otterbrun Road, Amelia, VA 23002 | 2005-12-21 |
| 1851373559 | Debra Marie Sequeira | Family Medicine | 8920 Otterburn Road, Amelia, VA 23002 | 2005-11-17 |
| 1497983175 | Rita M Barrett | Nurse Practitioner | 8920 Otterburn Road, Amelia, VA 23002 | 2009-07-01 |
| 1245246230 | Margaret Rodgers Campbell | Emergency Medicine | 8920 Otterburn Road, Amelia, VA 23002 | 2006-07-31 |
| 1366464109 | Joseph Reed Toler | Optometrist | 9231 Amelia St, Amelia, VA 23002-0000 | 2006-07-24 |
| Find all providers in zip 23002 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863602 | Kelly Rabah | Social Worker | 151 Woodside Park Dr, Amelia, OH 45102-8711 | 2020-05-21 |
| 1609094853 | Marae Martin | Social Worker | 37 E Main St, Amelia, OH 45102-1992 | 2007-04-23 |
| 1609229152 | Sarah Porter | Social Worker | 43 E Main St, Amelia, OH 45102-1993 | 2016-07-20 |
| 1841639150 | Jane Kaitz Cohen | Social Worker | 43 E Main St, Amelia, OH 45102-1993 | 2013-06-19 |
| 1548515455 | Michelle M Whitford | Social Worker | 43 E Main St, Amelia, OH 45102-1993 | 2012-07-17 |
| 1902101165 | Brent Hartke | Social Worker | 43 E Main St, Amelia, OH 45102-1993 | 2011-01-20 |
| 1245401496 | Mary F Signorelli | Social Worker | 43 E Main St, Amelia, OH 45102-1993 | 2008-03-17 |
| 1417158940 | David B Callan | Social Worker | 43 E Main St, Amelia, OH 45102-1993 | 2007-05-31 |
| 1992859318 | Cynthia S Crew | Social Worker | 43 E Main St, Amelia, OH 45102-1993 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780420 | Sharon Bixby | Social Worker | 10165 Meadows Rd, Locust Grove, VA 22508-9612 | 2020-11-08 |
| 1518568518 | Ruth Ilboudo | Social Worker | 15732 John Diskin Cir, Woodbridge, VA 22191-6550 | 2020-11-05 |
| 1639770597 | Tracy Ann Carroll | Social Worker | 16200 Saville Chase Ln, Midlothian, VA 23112-4585 | 2020-11-05 |
| 1801497037 | Miriam Matthews | Social Worker | 503 Arbre Ct, Virginia Beach, VA 23451-6001 | 2020-11-04 |
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1932700382 | Caitlin Duggan | Social Worker | 5712 Oak Knoll Rd, Midlothian, VA 23112-2400 | 2020-11-03 |
| 1285234021 | Sabrina Kafin Weiskind | Social Worker | 13221 Point Pleasant Dr, Fairfax, VA 22033-3508 | 2020-10-30 |
| 1932709714 | Jennifer Lynn Sistrunk | Social Worker | 5608 Riverside Heights Way, Richmond, VA 23225-2478 | 2020-10-29 |
| 1841890027 | Heather D Hiner | Social Worker | 735 Sanhill Dr, Lynchburg, VA 24502-4923 | 2020-10-28 |
| 1518567627 | Emily Apkarian | Social Worker | 923 E Ocean View Ave, Norfolk, VA 23503-1909 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.