Individual provider · Type 1 NPI
Pam Ingersoll, LCSW
School Social Worker · Old Lyme, CT
NPI number
1326826546
Active
Practice location
50 Gungy Rd
Old Lyme, CT 06371-3209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 004922 (CT) |
| School Social Worker Primary | 1041S0200X | None listed |
School Social Worker: Definition to come...
About NPI 1326826546
Pam Ingersoll, LCSW's National Provider Identifier is 1326826546, issued on Sep 19, 2023. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Old Lyme, CT. The record was last updated on Sep 19, 2023.