Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kathryn S. Icenhower, PHD, LCSW

Individual provider Clinical Social Worker · NPI 1639202492

Dr. Kathryn S. Icenhower, PHD, LCSW is a Clinical Social Worker in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12714 Avalon Blvd
Los Angeles, CA 90061-2730
Phone: (323) 242-5000
Fax: (323) 242-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS12699 (CA)

Record details

NPI number1639202492
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCSW
Sole proprietorNo
NPI enumeratedMarch 13, 2007
Last updated in NPPESJuly 8, 2007

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