Active NPI
Janet S Ingram, LCSW
- Clinical Social Worker
- Rochester, IN
National Provider Identifier
1891725362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34001323A
- Practice address
- 401 E 8TH St
Suite a
Rochester, IN 46975-1443 - Phone
- (574) 223-8565
- Fax
- (574) 223-8786
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34001323A | IN | Primary |
Addresses
Primary practice location
401 E 8TH St
Suite a
Rochester, IN 46975-1443
Mailing address
1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000184318 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34001323A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1891725362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 MICHIGAN AVE",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471526",
"telephone_number": "574-722-5151",
"fax_number": "574-739-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E 8TH ST",
"address_2": "SUITE A",
"city": "ROCHESTER",
"state": "IN",
"postal_code": "469751443",
"telephone_number": "574-223-8565",
"fax_number": "574-223-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "JANET",
"middle_name": "S",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34001323A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000184318",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.