Donna Marie Ingraham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5844-C Issued in NV

Practice address

501 S. Rancho Dr.
Suite C 17
Las Vegas, NV 89106-2435

Phone

(702) 917-3720

Fax

(702) 366-0352

NPI assigned

Dec 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1366745002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR STE C17",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064831",
            "telephone_number": "702-917-3720",
            "fax_number": "702-366-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S. RANCHO DR.",
            "address_2": "SUITE C 17",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062435",
            "telephone_number": "702-917-3720",
            "fax_number": "702-366-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAHAM",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2023-01-06",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2002005726",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5844-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Harold Ingham, MD
• Sara Inghram
• Denise Maurine Ingle
• Rajendrakumar Raghunath Ingle, MD
• Jennifer Ingrade
• Michele Lee Ingraham
• Angela Ingram
• Angela Dawn Ingram
• Angelique Ingram, RN
• Aranetta Ingram

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.