Victor Shawn Ingram, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8413-C Issued in NV

Practice address

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600

Phone

(702) 653-2273

NPI assigned

Apr 23, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beautiful Mind of Las Vegas LLCGroup PAC ID 9032550199, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beautiful Mind of Las Vegas LLC

  dba Beautiful Mind

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1356940639
  Medicare reassignment Care Compare group NPD
• Connexions Mental Health Services, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1457956187
  Medicare reassignment Authorized official
• Charleston Residential Services LLC

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
  • NPI 1790253060
  Medicare reassignment NPD
• Firebird LLC

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1912281486
  Medicare reassignment NPD
• Lisa a Durette MD PLLC

  dba Healthy Minds

  • Child & Adolescent Psychiatry Physician
  • Las Vegas, NV
  • NPI 1669679205

  Clinical

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  NV

  Medicare reassignment NPD
• Dynamic Medical Group LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1841988136
  NPD
• Lisa a Durette MD PLLC

  dba Healthy Minds

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1235633421

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1043745557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "VICTOR",
        "middle_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-23",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8413-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hai-Phuong Huynh, CRNA
• I-Stat Providers
• Javier J Ibarra, DPT
• Andrew Paul Ingel, DMD
• Kevin B Ingram, PSY D
• Bradley Ingrao, AUD
• Brannon L Inman, MD
• Christina Irby, RN, CRNP
• Benjamin M Irmen, PHARMD
• Margaret Ann Ives

• Clinical Social Worker in Nellis AFB, NV
• Providers in Nellis AFB, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.