| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LINH-HAN C IKEHARA | 1164822425 | 2014-08-23 |
Linh-han C Ikehara is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164822425. Registration indicates Linh-han C Ikehara is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Linh-han C Ikehara LSW |
| Practice Office Address | 76 REMICK BLVD SPRINGBORO, OH US |
| Practice Office Telephone | 9376413401 |
| Mailing Address | PO BOX 933421 CLEVELAND, OH 441930039 US |
| Business Telephone | 9376413000 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1 Childrens Plz | Dayton, OH 454041815 | 9376413000 |
| 3333 W Tech Rd | Miamisburg, OH 453420955 | 9376413000 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | S-1500662
OH |
| 0275932 | MEDICAID | OH |