Mr Victor Shawn Ingram, LCSW | |
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
(702) 653-2273 | |
Not Available |
Full Name | Mr Victor Shawn Ingram |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043745557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8413-C (Nevada) | Primary |
Entity Name | Lisa A Durette Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669679205 PECOS PAC ID: 6103927280 Enrollment ID: O20070719000161 |
Entity Name | First Person Care Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659612547 PECOS PAC ID: 2961649207 Enrollment ID: O20130506000286 |
Entity Name | Firebird Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912281486 PECOS PAC ID: 5092023069 Enrollment ID: O20150925000084 |
Entity Name | Charleston Residential Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790253060 PECOS PAC ID: 2860821469 Enrollment ID: O20200402001868 |
Entity Name | Connexions Mental Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457956187 PECOS PAC ID: 8224427091 Enrollment ID: O20211116003247 |
Entity Name | Beautiful Mind Of Las Vegas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356940639 PECOS PAC ID: 9032550199 Enrollment ID: O20240507004408 |
Mailing Address | Practice Location Address |
---|---|
Mr Victor Shawn Ingram, LCSW 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273 | Mr Victor Shawn Ingram, LCSW 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273 |
Dr. Connor Patrick Mulcahey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Adriana C Ottonelli, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3880 | |
Alexis Mercado-canty, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Natazsha Merritt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Luis Fernandez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Jacey Cole Cortega, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 |