Active NPI
Mark Ingoldby, LICSW
- Social Worker
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW00009528
- Practice address
- 820 S McClellan St
Suite 200
Spokane, WA 99204-2457 - Phone
- (509) 474-1144
- NPI assigned
- Jan 4, 2017
- Last updated
- Jan 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LW00009528 | WA | Primary |
Addresses
Primary practice location
820 S McClellan St
Suite 200
Spokane, WA 99204-2457
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (509) 747-1144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3016 E 57TH Ave
Spokane, WA 99223-7036
3919 N Maple St
Spokane, WA 99205-1349
Phone (509) 444-8888
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Community Health Association of Spokane | Social Worker | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205
3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900
5901 N Lidgerwood St
Ste 223
Spokane, WA 99208
Phone (509) 489-4763
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326005851
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Pediatrics Physician
- Spokane, WA
- NPI 1225805617
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1679363592
Social Worker
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba MultiCare Rockwood Clinic
- Internal Medicine Physician
- Spokane, WA
- NPI 1730687161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1568907244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"telephone_number": "509-747-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 S MCCLELLAN ST",
"address_2": "SUITE 200",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042457",
"telephone_number": "509-474-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGOLDBY",
"first_name": "MARK",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-04",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW00009528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.