LESLEY BLAIR ICENHOUR (NPI# 1699283812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699283812 |
| Entity Type | Individual |
| Full Name | LESLEY BLAIR ICENHOUR |
| Credential | MSW, LCSWA |
| Practice Address |
1650 Nc Highway 18 S Sparta NC 28675-8478 |
| Practice Telephone | 3363724095 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P012183 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1650 NC HIGHWAY 18 S |
| City | SPARTA |
| State | NC |
| Zip Code | 28675-8478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134626955 | Jennifer Billings | Counselor | 1650 Nc Highway 18 S, Sparta, NC 28675-8478 | 2018-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962966002 | Kimberly Loepp | Social Worker | Daymark Alleghany County, 1650 Nc Highway 18 S, Sparta, NC 28675 | 2019-01-23 |
| 1083980593 | Healthstat Inc | Nurse Practitioner | 1889 Hwy 21 S., Sparta, NC 28675 | 2012-03-29 |
| 1912271099 | Mary Margaret Joines | Social Worker | Blue Ridge Business Development Center, 115 Atwood Street, Office #415, Sparta, NC 28675 | 2012-03-07 |
| 1750668307 | Daymark Recovery Services Inc | Community/Behavioral Health | 102 Health Service Road, Sparta, NC 28675 | 2011-11-10 |
| 1326348665 | Families First | Home Health | 103 West Cheek Street, Sparta, NC 28675 | 2010-11-02 |
| 1598992620 | Laura Ashley Flowers | Dentist | 507 North Main Street, Sparta, NC 28675 | 2009-06-16 |
| 1376739003 | Alleghany County Department of Social Services | Case Management | 182 Doctors St, Sparta, NC 28675 | 2007-09-17 |
| 1538366323 | G Terry Johnson | Dentist | 146 Doctors St., Sparta, NC 28675 | 2007-06-27 |
| 1831318641 | Robert Duane Klingensmith | Chiropractor | 771 S Main St, Sparta, NC 28675 | 2007-04-24 |
| 1851448310 | Jennie Lynn Smith | Occupational Therapist | 295 N. Main St., Sparta, NC 28675 | 2007-01-05 |
| Find all providers in zip 28675 | ||||
| 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 |
|---|---|---|---|---|
| 1326655564 | Ryan Joseph Jones | Social Worker | 904 Angelo Rd, Sparta, WI 54656-1416 | 2020-09-30 |
| 1750997144 | Kellie Elizabeth Hackett | Social Worker | 43 Main St Ste 101, Sparta, NJ 07871-1972 | 2020-09-21 |
| 1164035143 | Jalyn Elizabeth Stuart | Social Worker | 515 Martindale St, Sparta, MI 49345-1466 | 2020-08-28 |
| 1962966002 | Kimberly Loepp | Social Worker | Daymark Alleghany County, 1650 Nc Highway 18 S, Sparta, NC 28675 | 2019-01-23 |
| 1639646888 | Melisa Ann Varcardiponi | Social Worker | 17 Woodport Rd Ste 2c, Sparta, NJ 07871-2415 | 2018-10-25 |
| 1619408689 | Taryn Blaustein | Social Worker | 46 Main St Ste 110, Sparta, NJ 07871-1910 | 2017-03-22 |
| 1750732350 | Tri-county Behavioral Care, LLC | Social Worker | 172 Woodport Rd, Suite D, Sparta, NJ 07871-2611 | 2016-06-24 |
| 1477954626 | Andrea J Tramper | Social Worker | 2111 12 Mile Rd, Sparta, MI 49345-9754 | 2014-09-08 |
| 1952701559 | Debra Jane Willison | Social Worker | 161 Ida Red Ave, Sparta, MI 49345-1715 | 2014-09-02 |
| 1477982221 | Hillary Grennan | Social Worker | 37 Main St Ste 1054, Sparta, NJ 07871-1903 | 2013-11-02 |
| Find all providers in SPARTA | ||||
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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.