Individual provider Active NPI

Ingrid Jones Manfredo, LCSW-C, LCADC

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1235572835
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09922 Issued in MD
Practice address
1707 Rosemont Ave # 1
Frederick, MD 21702-4135
Phone
(301) 639-1545
NPI assigned
Apr 12, 2013
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA322 MD
Clinical Social Worker 1041C0700X 09922 MD Primary

Addresses

Primary practice location

1707 Rosemont Ave # 1
Frederick, MD 21702-4135

Mailing address

PO Box 1473
Frederick, MD 21702-0473
Phone (301) 639-1545

Other names 1

  • Ingrid Jones Manfredo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20130531000195 MD Practitioner - Clinical Social Worker 2668610759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

198 Thomas Johnson Dr
Suite 9
Frederick, MD 21702-4443
Phone (301) 639-1545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCA322MDMDAddiction (Substance Use Disorder) Counselor
09922MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ingrid Manfredo Clinical CurrentSince May 1, 2015 Accepting new patients
Sheppard Pratt Physicians, P.a. Past Accepting new patients

Locations

198 Thomas Johnson Dr
Ste 9
Frederick, MD 21702
Phone (301) 639-1545

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, 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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1235572835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1473",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217020473",
            "telephone_number": "301-639-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 ROSEMONT AVE # 1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024135",
            "telephone_number": "301-639-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANFREDO",
        "first_name": "INGRID",
        "middle_name": "JONES",
        "credential": "LCSW-C, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA322",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRID",
            "last_name": "MANFREDO",
            "middle_name": "JONES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.