Individual provider Active NPI

Susan Jean Ingalsbe

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1497923643
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
08139 Issued in MD
Practice address
5407 N Charles Street
Baltimore, MD 21210
Phone
(410) 433-8861
Fax
(410) 433-1249
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 08139 MD Primary

Addresses

Primary practice location

5407 N Charles Street
Baltimore, MD 21210

Mailing address

5407 N Charles Street
Baltimore, MD 21210
Phone (410) 433-8861

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
I20210601001960 MD Practitioner - Clinical Social Worker 2769881390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Perspectives LLCGroup PAC ID 3870898109, 22 clinicians

Practice addresses (Care Compare)

6 Park Ctr CT
Suite 103
Owings Mills, MD 21117-5603
Phone 4103563344150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08139MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspectives LLC CurrentSince Jan 24, 2022 Accepting new patients
Cynthia Voelz PastSince Jan 24, 2022 Accepting new patients
Inspirit Counseling Services, Inc. PastSince Aug 21, 2012 Accepting new patients

Locations

6 Park Center Ct
Ste 103
Owings Mills, MD 21117
Phone (410) 356-3344

904 Washington Rd
Ste A
Westminster, MD 21157
Phone (410) 356-3344

Organizations & group practices 4

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1497923643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 N CHARLES STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21210",
            "telephone_number": "410-433-8861",
            "fax_number": "410-433-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 N CHARLES STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21210",
            "telephone_number": "410-433-8861",
            "fax_number": "410-433-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGALSBE",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "08139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.