Individual provider · Type 1 NPI

Katie Ickes

Clinical Social Worker · Wyoming, MI

NPI number 1932590486 Active

Practice location

255 Colrain St SW Ste 2
Wyoming, MI 49548-1057

Call (616) 988-1479 Map

Fax (616) 988-1473

Mailing address

1939 Division Ave S
Grand Rapids, MI 49507-2459

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1932590486

Katie Ickes's National Provider Identifier is 1932590486, issued on Feb 5, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wyoming, MI. The record was last updated on Feb 5, 2015.