Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Icwc Recovery Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1922663574

Icwc Recovery Inc is an Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4413 Park Heights Ave
Baltimore, MD 21215-6323
Phone: (443) 708-3834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1922663574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyrica Cason — President/Ceo · (856) 304-3911
NPI enumeratedMay 8, 2019
Last updated in NPPESMay 8, 2019
Mailing address4413 Park Heights Ave, Baltimore, MD 21215-6323

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