Active NPI
Laura Ann Inglis, LICSW, LCSW
- Clinical Social Worker
- Sandpoint, ID
National Provider Identifier
1811276637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60230885
- Practice address
- 204 N Fourth Ave Unit 2640
Sandpoint, ID 83864-0507 - Phone
- (253) 951-8624
- NPI assigned
- Aug 10, 2011
- Last updated
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60230885 | WA | Primary |
Addresses
Primary practice location
204 N Fourth Ave Unit 2640
Sandpoint, ID 83864-0507
Mailing address
PO Box 2640
Sandpoint, ID 83864-0919
Phone (253) 951-8624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 19, 2023 through Sep 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60230885 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1811276637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2640",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838640919",
"telephone_number": "253-951-8624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 N FOURTH AVE UNIT 2640",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838640507",
"telephone_number": "253-951-8624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGLIS",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "LICSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60230885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.