Alexander Sebastian Ingram, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

112128 Issued in NY

Practice address

417 E German St
Herkimer, NY 13350-1028

Phone

(315) 868-1000

NPI assigned

May 28, 2021

Sex

Male

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.

• Cornerstone Herkimer

  • Clinical Social Worker
  • Herkimer, NY
  • NPI 1588100986
  NPD (past)
• Herkimer Cornerstone, LLC

  • Community/Behavioral Health Agency
  • Herkimer, NY
  • NPI 1700318615
  NPD (past)

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1578139739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E GERMAN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501028",
            "telephone_number": "315-868-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E GERMAN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501028",
            "telephone_number": "315-868-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "ALEXANDER",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "112128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia R Horrocks, LMSW
• Judith Lynne Hudak Fernandes, M.S. ED., CCC-SLP
• Stephen Hudyncia, M.D.
• Kayla Hulser, OT/L
• Lindsay Elizabeth Humiston, DPT
• Geralyn M. Iocovozzi
• Cassandra Izzo
• David Peter Jalowiec, D.C.
• Scot Albert Jauma
• Allison Nicole Johnson

• Social Worker in Herkimer, NY
• Providers in Herkimer, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.