MR. VICTOR SHAWN INGRAM


Address: 4109 California Condor Ave, North Las Vegas, NV 89084-4804
Phone: 7022776382

MR. VICTOR SHAWN INGRAM (NPI# 1043745557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043745557
Entity Type Individual
Full Name MR. VICTOR SHAWN INGRAM
Credential LSW
Practice Address 4109 California Condor Ave
North Las Vegas
NV 89084-4804
Practice Telephone 7022776382
Practice Fax Number 7024533151
Mailing Telephone 7022776382
Mailing Fax Number 7024533151
Enumeration Date 2017-04-23
Last Update Date 2019-09-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
7464-S NV Behavioral Health & Social Service Providers

Office Location

Street Address 4109 CALIFORNIA CONDOR AVE
City NORTH LAS VEGAS
State NV
Zip Code 89084-4804

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093292823 Tela Marie Wilson Social Worker 3050 W Cheyenne Ave Ste 130, North Las Vegas, NV 89032-6025 2018-07-24
1265920763 Manuela Reid Daniels Social Worker 5604 Willowcreek Rd, North Las Vegas, NV 89031-1417 2018-04-30
1295108827 Temieka Meadows Social Worker 6036 Theatrical Rd, North Las Vegas, NV 89031-0619 2015-11-04
1710371513 Shawn Mango Social Worker 730 W Cheyenne Ave, Suite 60, North Las Vegas, NV 89030-7848 2015-03-19
1336531946 Leslie Glaze Social Worker 2220 W San Miguel Ave, North Las Vegas, NV 89032-3062 2015-02-19
1730580168 Linnetta Ruth Cooley Social Worker 4345 Hatch Bend Ave, North Las Vegas, NV 89031-4302 2014-09-04
1174938518 Carl Crockham Social Worker 4325 W Rome Blvd Apt 1184, North Las Vegas, NV 89084-5409 2014-06-24
1255670873 Trailways Inc Social Worker 2832 Tilten Kilt Ave, North Las Vegas, NV 89081-6570 2013-02-01
1114285269 Trailways Inc. Social Worker 3118 Bradford Hill Ave, North Las Vegas, NV 89031-2292 2012-04-26
1578857546 Nina Clark Anderson Social Worker 3925 N Mlk Blvd Ste 212, North Las Vegas, NV 89032-7676 2011-06-07
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Competitor

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City NORTH LAS VEGAS
Zip Code 89084

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Dataset Information

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.

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