MR. COREY INGRAM (NPI# 1679006118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679006118 |
| Entity Type | Individual |
| Full Name | MR. COREY INGRAM |
| Credential | LMSW |
| Practice Address |
1409 Devine St Columbia SC 29208-3902 |
| Mailing Address |
Po Box 8745 Columbia SC 29202-8745 |
| Practice Telephone | 8033599871 |
| Mailing Telephone | 8033599871 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
11995 | AL | Behavioral Health & Social Service Providers |
| Street Address |
1409 DEVINE ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29208-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124008867 | Charles Middleton Mckenzie Jr. | Pediatrics | 1409 Devine St, Columbia, SC 29208-0001 | 2006-01-19 |
| 1982252565 | Sabrina Johnson | Counselor | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-28 |
| 1831747351 | Talisha L Telsee | Counselor | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-28 |
| 1811545601 | Angela L Harrington | Psychologist | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-27 |
| 1679120117 | Tiffany Howard | Counselor | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-20 |
| 1194372656 | Susan Collins | Psychologist | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-20 |
| 1437614039 | Misty Bell Dix | Physical Therapist | 1409 Devine St, Columbia, SC 29208-3902 | 2019-02-07 |
| 1689159642 | Jordan Celest Cooler | Pharmacist | 1409 Devine St, Columbia, SC 29208-3902 | 2018-09-26 |
| 1487165205 | Margaret Coughlin | Specialist/Technologist | 1409 Devine St, Columbia, SC 29208-2139 | 2017-10-19 |
| 1225417710 | Ryan Brad Carsten | Nurse Practitioner | 1409 Devine St, Columbia, SC 29208-3902 | 2015-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409834 | Nathan Orth | Specialist/Technologist | 1304 Heyward St, Columbia, SC 29208 | 2019-04-19 |
| 1710434253 | Talley Young | Specialist/Technologist | 1300 Wheat Street, Columbia, SC 29208 | 2016-09-01 |
| 1720368871 | Anwar Merchant | Student in an Organized Health Care Education/Training Program | 800 Sumter Street, Department of Epidemiology and Biostatistics, Columbia, SC 29208 | 2011-08-22 |
| 1730202805 | Cynthia Mcintyre Thompson | Registered Nurse | 1409 Devine Street, University of Sc Thomason Student Health Center, Columbia, SC 29208 | 2007-04-06 |
| 1841837481 | Stephanie Jo Beeler | Registered Nurse | 1601 Greene St, Columbia, SC 29208 | 2019-12-02 |
| 1003161696 | Toni Marie Torres-mcgehee | Specialist/Technologist | 1300 Wheat St, Blatt Pe Center 218, Columbia, SC 29208 | 2012-07-19 |
| 1841812591 | Chasitie Ann Mcintosh | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 | 2020-05-15 |
| 1053933267 | Allyson Derrick | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia, Columbia, SC 29208-0001 | 2020-05-11 |
| 1235764580 | Cheedy Jaja | Registered Nurse | College of Nursing 1601 Greene Street, Columbia, SC 29208-0001 | 2020-03-06 |
| 1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
| Find all providers in zip 29208 | ||||
| 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 |
|---|---|---|---|---|
| 1699396135 | Elana Patrice Bouldin | Social Worker | 5570 Sterrett Pl Ste 205, Columbia, MD 21044-2649 | 2020-05-06 |
| 1659992998 | Stacey Denise Mcphail | Social Worker | 5402 Magnolia Park Cir, Columbia, SC 29206-1164 | 2020-04-28 |
| 1205455912 | Jordan Desai | Social Worker | 826 Maple St, Columbia, SC 29205-1732 | 2020-04-13 |
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1740810183 | Shannon Jean Haynes | Social Worker | 755 Viola Ct, Columbia, SC 29229-7089 | 2020-01-24 |
| 1093345241 | Michael R. Williams | Social Worker | 304 Laurel Rise Ln, Columbia, SC 29229-7403 | 2020-01-16 |
| 1427697523 | Elizabeth Lynn Meritt | Social Worker | 7344 Eden Brook Dr Apt 928, Columbia, MD 21046-1288 | 2020-01-06 |
| 1134762735 | Scott Buis | Social Worker | 2120 E Business Loop 70, Columbia, MO 65201-5504 | 2019-10-26 |
| 1295378859 | Andrea Terese Rule | Social Worker | 210 W Sand Bank Rd Ste 14, Columbia, IL 62236-1044 | 2019-10-25 |
| 1710529144 | Christine M Lero | Social Worker | 1604 Pickard Way, Columbia, MO 65203-4722 | 2019-10-17 |
| Find all providers in COLUMBIA | ||||
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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.