Individual provider Active NPI

Tracey Ingle, LICSW

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1154606226
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119773 Issued in MA
Practice address
12 Laurel Park
Northampton, MA 01060
Phone
(413) 923-4837
Fax
(800) 927-2750
NPI assigned
Oct 20, 2011
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 119773 MA
Clinical Social Worker 1041C0700X 119773 MA Primary

Addresses

Primary practice location

12 Laurel Park
Northampton, MA 01060

Mailing address

351 Pleasant St
Ste B #334
Northampton, MA 01060
Phone (413) 923-4837

Other practice location 1

48 N Pleasant St Ste 207
Amherst, MA 01002-1741
Phone (413) 461-4042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20180322001986 MA Practitioner - Clinical Social Worker 2567724925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Northampton, MA 01060
Phone (413) 923-4837

351 Pleasant St
Suite B
Northampton, MA 01060-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119773MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
In Wellness, LLC Adult Mental Health CurrentSince Feb 1, 2024 Accepting new patients

Locations

351 Pleasant St
Ste B
Northampton, MA 01060
Phone (413) 282-8550

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1154606226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 PLEASANT ST",
            "address_2": "STE B #334",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "413-923-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LAUREL PARK",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "413-923-4837",
            "fax_number": "800-927-2750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 N Pleasant St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "MA",
            "postal_code": "010021741",
            "country_code": "US",
            "telephone_number": "413-461-4042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGLE",
        "first_name": "TRACEY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "119773",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.