Individual provider · Type 1 NPI

Jonathan Ingram, CSW

Peer Specialist · Farmington, NM

NPI number 1275360190 Active

Practice location

653 W Arrington St
Farmington, NM 87401-8513

Call (505) 564-3733 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000X0913224 (NM)
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1275360190

Jonathan Ingram, CSW's National Provider Identifier is 1275360190, issued on Sep 16, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Farmington, NM. The record was last updated on May 18, 2026.