Mrs Benita Lynnette Ingram, LCSW is a
Social Worker - Clinical based in Lynwood, Illinois. Mrs Benita Lynnette Ingram is licensed to practice in Illinois (license number 149.017595) and her current practice location is
2249 Eastwood Dr, Lynwood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 638-1587.
NPI number for Mrs Benita Lynnette Ingram is 1548918204 and her current mailing address is 2249 Eastwood Dr, Lynwood, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548918204.
Healthcare Provider's Profile
Full Name | Mrs Benita Lynnette Ingram |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 2249 Eastwood Dr, Lynwood, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548918204
- Provider Enumeration Date: 03/12/2022
- Last Update Date: 03/12/2022
Medical Identifiers
Medical identifiers for Mrs Benita Lynnette Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548918204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.017595 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Benita Lynnette Ingram is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Benita Lynnette Ingram, LCSW 2249 Eastwood Dr, Lynwood, IL 60411-1565 Ph: (708) 638-1587 | Mrs Benita Lynnette Ingram, LCSW 2249 Eastwood Dr, Lynwood, IL 60411-1565 Ph: (708) 638-1587 |
Reviews and Comments