Individual provider · Type 1 NPI

Jordan Ingram

Clinical Social Worker · Bentonville, AR

NPI number 1265045090 Active

Practice location

2508 SE 20th St
Bentonville, AR 72712-4008

Call (479) 273-9088 Map

Fax (479) 845-2111

Mailing address

2400 S 48th St
Springdale, AR 72762-6683

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X10066M (AR)
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1265045090

Jordan Ingram's National Provider Identifier is 1265045090, issued on Aug 31, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bentonville, AR. The record was last updated on Apr 10, 2023.