CRYSTAL INGRAM (NPI# 1194271692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194271692 |
| Entity Type | Individual |
| Full Name | CRYSTAL INGRAM |
| Credential | MSW, LCSW-A |
| Practice Address |
2555 Promise Land Rd La Grange NC 28551-7004 |
| Practice Telephone | 2524811205 |
| Mailing Telephone | 2524811205 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P010948 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487822953 | Crystal M Ingram | Counselor | 62 Chestnut St, Elberton, GA 30635-1806 | 2008-02-18 |
| 1588196836 | Crystal Ingram | Student in an Organized Health Care Education/Training Program | 145 N 6th St Fl 1, Reading, PA 19601 | 2017-03-28 |
| 1366765398 | Crystal N Ingram | Nurse's Aide | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2010-03-04 |
| Street Address |
2555 PROMISE LAND RD |
| City | LA GRANGE |
| State | NC |
| Zip Code | 28551-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992229215 | Christopher Webster | Physical Therapist | 3870 Falling Creek Road, Legrange, NC 28551 | 2017-07-28 |
| 1437527082 | Tanger Lee Jones | Counselor | 197 Brook Meadow Lane, Lagrange, NC 28551 | 2015-09-11 |
| 1235362161 | Daniel's Choices Youth Development, Inc. | Community/Behavioral Health | 525 Arba Jason Rd., La Grange, NC 28551 | 2009-08-26 |
| 1518942135 | Marjorie R Rachide | Nurse Practitioner | 101 South Carey Street, Lagrange, NC 28551 | 2005-12-07 |
| 1669611471 | Nova Ic, Inc. | Intermediate Care Facility, Mentally Retarded | 407 W. Washington Street, Lagrange, NC 28551-1623 | 2009-02-18 |
| 1447499330 | Nova Ic, Inc. | Intermediate Care Facility, Mentally Retarded | 405 W Washington St, La Grange, NC 28551-1623 | 2009-02-17 |
| 1629259676 | Advantage Care of North Carolina, LLC | Case Management | 111 S Caswell St, La Grange, NC 28551-1707 | 2007-11-19 |
| 1629118013 | Waters' Provider Care Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 W James St, La Grange, NC 28551-1727 | 2007-02-07 |
| 1568586808 | Ant Mary's Family Care | Custodial Care Facility | 127 E Railroad St, La Grange, NC 28551-1741 | 2007-03-19 |
| 1720063340 | Carl L Haynes Jr. | Family Medicine | 101 S Carey St, La Grange, NC 28551-1805 | 2005-12-07 |
| Find all providers in zip 28551 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620325 | Devon Marie Daldegan | Social Worker | 106 N Kensington Ave, La Grange, IL 60525-1878 | 2020-08-18 |
| 1164042628 | Elizabeth Ryan Racanelli | Social Worker | 443 8th Ave, La Grange, IL 60525-6417 | 2020-04-24 |
| 1982163234 | Dawn M Velez | Social Worker | 100 Walden Pl, La Grange, NC 28551-9356 | 2019-03-17 |
| 1073078978 | Brian Drelicharz | Social Worker | 82 S La Grange Rd Ste 210, La Grange, IL 60525-6348 | 2019-02-05 |
| 1922572981 | Claudia Kelly | Social Worker | 72 S La Grange Rd Ste 13, La Grange, IL 60525-6319 | 2019-01-13 |
| 1306387253 | Melissa Ann Mcginnis | Social Worker | 5409 S Brainard Ave, La Grange, IL 60525-6606 | 2017-03-12 |
| 1427598143 | Janessa Olney | Social Worker | 11 6th Ave, Apt 1a, La Grange, IL 60525-2403 | 2017-02-28 |
| 1568900926 | Eithne Mary Kiely | Social Worker | 321 W Calendar Ave, Apt 3f, La Grange, IL 60525-2307 | 2017-02-06 |
| 1942667530 | Megan Lestina | Social Worker | 522 W Burlington Ave # 2w, La Grange, IL 60525-2200 | 2016-01-27 |
| 1720467079 | Kelly Konkey | Social Worker | 637 S 10th Ave, La Grange, IL 60525-3037 | 2015-05-20 |
| Find all providers in LA GRANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.