AMANDA ICENHOWER MSW, LCSW
NPI 1265895767
Social Worker in White City, OR

Q: What is Amanda Icenhower's NPI number?

The NPI number for Amanda Icenhower is 1265895767. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Q: What is Amanda Icenhower's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Icenhower was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2016

8495 CRATER LAKE HWY, 11CM, WHITE CITY, OR 97503(541) 826-2111 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amanda Icenhower Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA ICENHOWER MSW, LCSW (NPI 1265895767) is an individual social worker in White City, Oregon, licensed in Oregon (A4107) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1265895767

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameAMANDA ICENHOWERCredential: MSW, LCSW

Location Address8495 CRATER LAKE HWY, 11CMWhite City, OR 97503-3011

Mailing Address8495 Crater Lake HwyWhite City, OR 97503-3011 · (541) 826-2111

Phone(541) 826-2111

Sole ProprietorYes

Enumeration DateApril 1, 2016

Last NPPES UpdateApril 2, 2018

✔ NPI 1265895767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in OR · A4107

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License L7414 (OR)

8495 CRATER LAKE HWY, White City, OR 97503

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADRIAN ANTHONY GARIBAY

Registered Nurse

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

KANDICE DRAAYER RN

Registered Nurse (Psychiatric/Mental Health, Adult)

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

WHITE CITY VAMC

General Acute Care Hospital

8495 CRATER LAKE HWY, VA SORCC
WHITE CITY, OR 97503

Jackson County (702) 341-3164

MR. KEVIN LEONARD WILLIAMS MSW, LCSW

Social Worker (Clinical)

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

DR. ERIC GUSTAFSON PHARM.D.

Pharmacist

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

LYN WAYNE SHEPERD

Registered Nurse

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

JEAN EILEEN MOUNT

Nurse Practitioner (Adult Health)

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

MR. MICHAEL JOHN OMALLEY M.S., LPC, LMHC

Counselor (Mental Health)

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Icenhower's NPI number?

The NPI number for Amanda Icenhower is 1265895767. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Amanda Icenhower located?

Amanda Icenhower practices at 8495 Crater Lake Hwy 11cm, White City, OR 97503. The listed phone number is (541) 826-2111.

What is Amanda Icenhower's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Amanda Icenhower was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.