IndividualActive
Carron Ickes, LSW, CDCA
NPI 1902203581 · Social Worker · Dover, OH
Provider details
- NPI number
- 1902203581
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LSW, CDCA
- Sex
- Female
- Sole proprietor
- No
- License
- 060327 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
897 E Iron Ave
Dover, OH 44622-2030
Phone: (330) 343-5555
Approximate (ZIP-level) locationGet directions
Mailing address
897 E Iron Ave
Dover, OH 44622-2030
Registry dates
- Enumerated
- 2014-11-26
- Last updated
- 2014-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.