Active NPI
Daniel Wayne Ingroff, LISW LCSW
- Clinical Social Worker
- Taos, NM
National Provider Identifier
1104924729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I 2149
- Practice address
- 705 Felicidad
Taos, NM 87571 - Phone
- (505) 737-9348
- Fax
- (505) 737-5844
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I 2149 | NM | Primary |
Addresses
Primary practice location
705 Felicidad
Taos, NM 87571
Mailing address
PO Box 3107
Taos, NM 87571
Phone (505) 758-4882
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100037 VNM | Other | NM | VALVEOPTIONS |
| 99862 | Medicaid | NM | |
| VNM00686 | Other | NM | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I 2149 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104924729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3107",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-758-4882",
"fax_number": "505-737-5844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 FELICIDAD",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-737-9348",
"fax_number": "505-737-5844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGROFF",
"first_name": "DANIEL",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "LISW LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I 2149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALVEOPTIONS",
"identifier": "100037 VNM",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99862",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "VNM00686",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.