Active NPIIndividual providerSole proprietor

Gregory Ingram, LCSW

Social Worker, Clinical in Roselle, New Jersey

NPI Number1427488824
Practice location
120 Halcyon Pl, Roselle, NJ 07203-1512
Fax
—
Last updated
November 21, 2013

Gregory Ingram is a Social Worker, Clinical based in Roselle, NJ. Gregory Ingram practices in Roselle, NJ and has the professional credentials of LCSW. The NPI Number for Gregory Ingram is 1427488824 and holds a License No. 44sc05532900 (NJ). The current practice location address for Gregory Ingram is 120 Halcyon Pl, Roselle, NJ 07203-1512 and can be reached out via phone at 908-422-5340.

Provider Profile Details

NPI Number
1427488824
Provider Name
Gregory Ingram
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
120 Halcyon Pl, Roselle, NJ 07203-1512
Phone Number
908-422-5340
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 21, 2013
Last Update Date
November 21, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Halcyon Pl
Roselle, NJ 07203-1512
Zip
07203-1512
Phone Number
908-422-5340
Roselle, NJ 07203Get directions →

Provider Business Mailing Address Details

Address
210 E 2ND Ave
Roselle, NJ 07203-1306
City
Roselle
State
NJ
Zip
07203-1306

License Information

License Number (1)
44sc05532900
License State (1)
NJ
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
00273388
License State (2)
NJ
Taxonomy (2)
Social Worker, School · 1041S0200X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Gregory Ingram, LCSW?

The NPI number of Gregory Ingram, LCSW is 1427488824. It was assigned on November 21, 2013 and is currently active in the NPPES registry.

What is the specialty of Gregory Ingram, LCSW?

Gregory Ingram, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44sc05532900.

Where does Gregory Ingram, LCSW practice?

The practice location is 120 Halcyon Pl, Roselle, NJ 07203-1512. The office can be reached at 908-422-5340 (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 1427488824 directly on the NPPES registry website.

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