C. Louise Ingram, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004838 Issued in VA

Practice address

10455 White Granite Dr
Suite 100
Oakton, VA 22124-2764

Phone

(703) 219-2166

Fax

(703) 219-3856

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992887079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 WHITE GRANITE DR",
            "address_2": "SUITE 100",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 WHITE GRANITE DR",
            "address_2": "SUITE 100",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242764",
            "telephone_number": "703-219-2166",
            "fax_number": "703-219-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "C.",
        "middle_name": "LOUISE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004838",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Hollidge, LCSW
• Hongjoon Occupational Therapy
• Hopelink Behavioral Health
• Meghan Fleming Hulver, M.D.
• Kristin Huppi, DPT
• Isynchrony LLC
• Alison Izzo, DPT
• Elizabeth Jacobs, MSW
• Ashley Jereda
• JL Counseling, LLC

• All providers in Oakton, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.