Active NPI
Judithe Louis-Ingram, LCSWA
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1184064891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P018933
- Practice address
- 201 W Main St Ste 316
Durham, NC 27701-3228 - Phone
- (980) 230-1263
- NPI assigned
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | P018933 | NC | Primary |
Addresses
Primary practice location
201 W Main St Ste 316
Durham, NC 27701-3228
Mailing address
5200 Park Rd Ste 218B
Charlotte, NC 28209-3650
Phone (866) 700-1606
Other practice location 1
5200 Park Rd Ste 218B
Charlotte, NC 28209-3650
Phone (866) 700-1606
Other names 1
- Judithe Louis
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 |
|---|---|---|---|
| P018933 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teams LLC | Clinical | Current | Accepting new patients |
| Sparc Network | Clinical | Past | Accepting new patients |
Locations
201 W Main St
Ste 316
Durham, NC 27701
Phone (919) 729-6300
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1184064891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 PARK RD STE 218B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093650",
"telephone_number": "866-700-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W MAIN ST STE 316",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013228",
"telephone_number": "980-230-1263"
}
],
"practiceLocations": [
{
"address_1": "5200 Park Rd Ste 218B",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282093650",
"country_code": "US",
"telephone_number": "866-700-1606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOUIS-INGRAM",
"first_name": "JUDITHE",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P018933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITHE",
"last_name": "LOUIS",
"code": "1",
"type": "Former Name"
}
]
}
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- Nelson Louis
- Samantha Wang Louis, PHARMD, MPH
- Karyn Louritt
- Love and Care Family Care Home
- Love and Care Family Care Home II
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.