Individual provider · Type 1 NPI

Meredith Ingram, LCSW

Clinical Social Worker · New London, CT

NPI number 1629961818 Active

Practice location

21 Montauk Ave
New London, CT 06320-4906

Mailing address

9 Perkins Ave
Westerly, RI 02891-1522

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15313 (CT)

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 1629961818

Meredith Ingram, LCSW's National Provider Identifier is 1629961818, issued on May 29, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New London, CT. The record was last updated on May 29, 2025.