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Christopher Daniel Icenhour

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NPI Number Detailed Information

Provider Information:

Name: Christopher Daniel Icenhour
Gender: M
Provider License Number If Given: C011464

NPI Information:

NPI: 1861824682
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/2/2013

Last Update Date: 7/10/2020

Provider Business Mailing Address:

Address: 284 EXECUTIVE PARK DR STE 100
Concord, NC 28025
Phone Number: 7049391100
Fax Number: 7049391173

Provider Business Practice Location Address:

Address: 1400 WILLOW LN
N Wilkesboro, NC 28659
Phone Number: 3366675151
Fax Number:

Provider Taxonomy:

Primary: 1041C0700X
Secondary (if any):
State: NC

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About Christopher Daniel Icenhour

Christopher Daniel Icenhour ( CHRISTOPHER DANIEL ICENHOUR ) is A Social Worker Physician in N Wilkesboro, NC. The NPI Number for Christopher Daniel Icenhour is 1861824682.
The current location address for Christopher Daniel Icenhour is 1400 WILLOW LN N Wilkesboro, NC 28659 and the contact number is 7049391100 and fax number is 7049391173. The mailing address for Christopher Daniel Icenhour is 284 EXECUTIVE PARK DR STE 100 Concord, NC 28025- 3366675151 (mailing address contact number - 7049391100).
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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Christopher Daniel Icenhour ?


Answer: The NPI Number for Christopher Daniel Icenhour is 1861824682

Where is Christopher Daniel Icenhour located?


Answer: Christopher Daniel Icenhour is located at 1400 WILLOW LN N Wilkesboro, NC 28659.

What is the specialty for Christopher Daniel Icenhour ?


Answer: The Specialty of Christopher Daniel Icenhour is A Social Worker Physician.

Are there any online reviews for Christopher Daniel Icenhour ?


Answer: Not yet!

Are there any other health care providers in N Wilkesboro, NC?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Christopher Daniel Icenhour

Number of HCPCS 4
Number of Medicare Beneficiaries 14
Number of Services 26
Total Submitted Charge Amount 4340
Total Medicare Allowed Amount 1803.11
Total Medicare Payment Amount 1229.63
Total Medicare Standardized Payment Amount 1235.15
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 4
Number of Medicare Beneficiaries With Medical 14
Number of Medical Services 26
Total Medical Submitted Charge Amount 4340
Total Medical Medicare Allowed Amount 1803.11
Total Medical Medicare Payment Amount 1229.63
Total Medical Medicare Standardized Payment Amount 1235.15
Average Age of Beneficiaries 56
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries 14
Number of Black or African American Beneficiaries 0
Number of Asian Pacific Islander Beneficiaries 0
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 0
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis 0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 1.0639

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Address: 111 BLAIRFIELD CT N Wilkesboro, NC 28659 , Phone: 3369030500
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Address: 1920 W PARK DR N Wilkesboro, NC 28659 , Phone: 3368388988
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Address: 1907 W PARK DR N Wilkesboro, NC 28659 , Phone: 3369037700
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Northwest Orthopaedic Assoc Pa
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Address: 1925 W PARK DR N Wilkesboro, NC 28659 , Phone: 3369030147
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Address: 1400 WILLOW LN N Wilkesboro, NC 28659 , Phone: 3366675151
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Address: 1430 WILLOW LN WEST PARK C61-2 N Wilkesboro, NC 28659 , Phone: 3366675151
Nichie Brady
Counselor
NPI Number: 1093073678
Address: 1430 WILLOW LN WESTPARK C 61-2 N Wilkesboro, NC 28659 , Phone: 3366675151
Lynne Taras
Counselor
NPI Number: 1336496520
Address: 1430 WILLOW LN WESTPARK C61-2 N Wilkesboro, NC 28659 , Phone: 3366675151
Adrian Salena Boles
Professional Counselor
NPI Number: 1427301878
Address: 1400 WILLOW LN N Wilkesboro, NC 28659 , Phone: 3368444565
Jeanette Shumate
Registered Nurse
NPI Number: 1518211556
Address: 1430 WILLOW LN WEST PARK C61-2 N Wilkesboro, NC 28659 , Phone: 3366675151
He Xiao
Counselor
NPI Number: 1205180288
Address: 1430 WILLOW LN WESTPARK C61-2 N Wilkesboro, NC 28659 , Phone: 3366675151
Roger Martin
Counselor
NPI Number: 1427302876
Address: 1430 WILLOW LN WESTPARK C61-2 N Wilkesboro, NC 28659 , Phone: 3366675151
Zachary Shepherd
Counselor
NPI Number: 1053656868
Address: 1430 WILLOW LN WESTPARK C61-2 N Wilkesboro, NC 28659 , Phone: 3366675151
Christopher Daniel Icenhour
Clinical Social Worker
NPI Number: 1861824682
Address: 1400 WILLOW LN N Wilkesboro, NC 28659 , Phone: 3366675151
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