Kelly Ingham

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009111 Issued in VA

Practice address

8527 Mayland Dr
101
Richmond, VA 23294-4753

Phone

(804) 346-5165

Fax

(804) 346-5167

NPI assigned

Aug 12, 2015

Last updated

Aug 12, 2015By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Alliance of Virginia LLC

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1417225061
  NPD
• Counseling Alliance of Virginia LLC

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1437448982
  NPD

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1053787184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8527 MAYLAND DR",
            "address_2": "101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944753",
            "telephone_number": "804-346-5165",
            "fax_number": "804-346-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8527 MAYLAND DR",
            "address_2": "101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944753",
            "telephone_number": "804-346-5165",
            "fax_number": "804-346-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGHAM",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infonix Solutions
• Infusion Solutions LLC
• Infusion Therapy of Virginia LLC
• Arlene Ingal, PT
• Kaitlin Florence Ingebretsen, MA, LPC, BC-DMT
• Vjaughn Ingraham
• Genequa Ingram
• Michael Joseph Ingram, LPC
• Myca J Ingram, PT
• Inhealthrva LLC

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.