Mrs Tacarra Ingram, MSW, LCSW, LCASA is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is
6034 River Lake Cir, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 335-6038.
Mrs Tacarra Ingram is licensed to practice in North Carolina (license number C014029) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861838948.
Healthcare Provider's Profile
Full Name | Mrs Tacarra Ingram |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6034 River Lake Cir, Raleigh, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861838948
- Provider Enumeration Date: 05/16/2013
- Last Update Date: 01/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 5294126744
- Enrollment ID: I20211217000666
Medical Identifiers
Medical identifiers for Mrs Tacarra Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861838948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 3316-A (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C014029 (North Carolina) | 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 Tacarra Ingram is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tacarra Ingram, MSW, LCSW, LCASA Po Box 958, Knightdale, NC 27545-0958 Ph: (919) 877-6442 | Mrs Tacarra Ingram, MSW, LCSW, LCASA 6034 River Lake Cir, Raleigh, NC 27604-6000 Ph: (919) 335-6038 |
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