Lillian Yvonne Ingram, LICSW
Individual provider Active NPI Clinical Social Worker · Spencerville, MD
NPI 1013799329 · NPPES record last updated Oct 20, 2023
Key facts
- NPI
- 1013799329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC300589 (DC)
- Practice address
- 17013 Oak Hill Rd
Spencerville, MD 20868-3105 - Phone
- (202) 714-6012
- NPI assigned
- Oct 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC300589 | DC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC300589 | DC | Yes |
Addresses
Primary practice location
17013 Oak Hill Rd
Spencerville, MD 20868-3105
Mailing address
17013 Oak Hill Rd
Spencerville, MD 20868-3105
Phone (202) 714-6012
Other providers in Spencerville, MD
- Adjowa Sika Alidjah
- Bathsolutions Healthcare Agency, LLC
- Risi Marie Idiokitas
- Susan Hippchen McCarron
- Hayden Patino
All providers in Spencerville, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.