IndividualActive
Amanda Icenhower, MSW, LCSW
NPI 1265895767 · Social Worker · White City, OR
Provider details
- NPI number
- 1265895767
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- L7414 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
8495 Crater Lake Hwy
11cm
White City, OR 97503-3011
Phone: (541) 826-2111
Approximate (ZIP-level) locationGet directions
Mailing address
8495 Crater Lake Hwy
White City, OR 97503-3011
Registry dates
- Enumerated
- 2016-04-01
- Last updated
- 2018-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.