Ms. Pam Ingersoll, LCSW
Social Worker, School in Old Lyme, Connecticut
1326826546- Practice location
- 50 Gungy RD, Old Lyme, CT 06371-3209
- Phone
- 860-961-3644
- Fax
- —
- Last updated
- September 19, 2023
Pam Ingersoll is a Social Worker, School based in Old Lyme, CT. Pam Ingersoll practices in Old Lyme, CT and has the professional credentials of LCSW. The NPI Number for Pam Ingersoll is 1326826546 and holds a License No. 004922 (CT). The current practice location address for Pam Ingersoll is 50 Gungy RD, Old Lyme, CT 06371-3209 and can be reached out via phone at 860-961-3644.
Provider Profile Details
- NPI Number
- 1326826546
- Provider Name
- Pam Ingersoll
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 50 Gungy RD, Old Lyme, CT 06371-3209
- Phone Number
- 860-961-3644
- Primary Taxonomy
- Social Worker, School · 1041S0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 19, 2023
- Last Update Date
- September 19, 2023
- Certification Date
- September 19, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Gungy RD
Old Lyme, CT 06371-3209 - City
- Old Lyme
- State
- Connecticut
- Zip
- 06371-3209
- Phone Number
- 860-961-3644
Provider Business Mailing Address Details
- Address
- 50 Gungy RD
Old Lyme, CT 06371-3209 - City
- Old Lyme
- State
- CT
- Zip
- 06371-3209
- Phone Number
- 860-961-3644
License Information
- License Number (1)
- 004922
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Social Worker, School · 1041S0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Pam Ingersoll, LCSW?
The NPI number of Ms. Pam Ingersoll, LCSW is 1326826546. It was assigned on September 19, 2023 and is currently active in the NPPES registry.
What is the specialty of Ms. Pam Ingersoll, LCSW?
Ms. Pam Ingersoll, LCSW is registered under the primary taxonomy Social Worker, School (code 1041S0200X), licensed in CT under license number 004922.
Where does Ms. Pam Ingersoll, LCSW practice?
The practice location is 50 Gungy RD, Old Lyme, CT 06371-3209. The office can be reached at 860-961-3644 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326826546 directly on the NPPES registry website.