Individual provider Active NPI

Mary Randall Ingate, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1508899733
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06445 Issued in MD
Practice address
5415 W Cedar LN
Ste 208B
Bethesda, MD 20814-1523
Phone
(240) 888-6214
NPI assigned
Jul 9, 2006
Last updated
Nov 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06445 MD Primary

Addresses

Primary practice location

5415 W Cedar LN
Ste 208B
Bethesda, MD 20814-1523

Mailing address

5415 W Cedar LN
Ste 208B
Bethesda, MD 20814-1523
Phone (240) 777-1384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20070906000580 DC Practitioner - Clinical Social Worker 6709979909 Practice locations: Bethesda, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6616 Rannoch Rd
Bethesda, MD 20817-5411
Phone (301) 802-5543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1508899733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 W CEDAR LN",
            "address_2": "STE 208B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141523",
            "telephone_number": "240-777-1384",
            "fax_number": "240-777-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 W CEDAR LN",
            "address_2": "STE 208B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141523",
            "telephone_number": "240-888-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGATE",
        "first_name": "MARY",
        "middle_name": "RANDALL",
        "name_prefix": "Miss",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.