Healthcare Provider Details

I. General information

NPI: 1639015506
Provider Name (Legal Business Name): IKON HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 OWENS GLEN CT
NORTH POTOMAC MD
20878-2300
US

IV. Provider business mailing address

26 OWENS GLEN CT
NORTH POTOMAC MD
20878-2300
US

V. Phone/Fax

Practice location:
  • Phone: 301-664-4209
  • Fax:
Mailing address:
  • Phone: 301-664-4209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SAM ABRAMS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 301-956-9030