Nicole Ingram, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P009835 Issued in NC

Practice address

8368 Six Forks Rd
Suite 102
Raleigh, NC 27615-5073

Phone

(919) 848-9108

Fax

(919) 848-9109

NPI assigned

Jun 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sigma Health Services LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1962643270
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1528441235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 SUMMERSET PL",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305028",
            "telephone_number": "919-721-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8368 SIX FORKS RD",
            "address_2": "SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155073",
            "telephone_number": "919-848-9108",
            "fax_number": "919-848-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher William Ingram, M.D.
• Daniel Wayne Ingram, PA C
• David Lane Ingram, M.D.
• Julie Kristen Ingram, LPC,LEAP
• Linda H Ingram, APRN,BC
• Tacarra Ingram, MSW, LCSW, LCASA
• Gretchen Maria Inkumsah, D.O.
• Inline Logistics
• Camille Inman, LCMHCA
• Elyn Chance Inman, PA-C

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.