National Provider Identifier

Kimberly Joyce Ingram, LCSW

Kimberly Joyce Ingram, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 862-8796.

NPI 1710907779Buffalo, NYClinical Social Worker

Profile Overview

NPI
1710907779
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
July 20, 2006
Last Updated
July 08, 2007

Practice Location

  • Va Hospital Pcg2
  • 3495 Bailey Ave
  • Buffalo, NY 14215

Phone: (716) 862-8796

Mailing Address

  • 663 Emerson Dr
  • Amherst, NY 14226-1239

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1710907779
Entity Type
Individual
Last Name
Ingram
First Name
Kimberly
Middle Name
Joyce
Name Prefix
MS.
Credential
LCSW
Mailing Street Address
663 Emerson Dr
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-1239
Mailing Country
US
Mailing Phone
(716) 862-8796
Practice Street Address
Va Hospital Pcg2
Practice Address Line 2
3495 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215
Practice Country
US
Practice Phone
(716) 862-8796
Enumeration Date
July 20, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)