Tacarra Ingram, MSW, LCSW, LCASA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014029 Issued in NC

Practice address

6034 River Lake Cir
Raleigh, NC 27604-6000

Phone

(919) 335-6038

NPI assigned

May 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1861838948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275450958",
            "telephone_number": "919-877-6442",
            "fax_number": "919-887-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6034 RIVER LAKE CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046000",
            "telephone_number": "919-335-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "TACARRA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3316-A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Wayne Ingram, PA C
• David Lane Ingram, M.D.
• Julie Kristen Ingram, LPC,LEAP
• Linda H Ingram, APRN,BC
• Nicole Ingram, LCSWA
• Gretchen Maria Inkumsah, D.O.
• Inline Logistics
• Camille Inman, LCMHCA
• Elyn Chance Inman, PA-C
• Gregory Inman, PH.D.

• 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 Jan 7, 2022; 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.