Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1700373347 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Steven Ingram , PhD, LSW

Social Worker - Clinical • Columbus, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Ingram has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 19, 2018
NPI Deactivation Date March 13, 2024
Total Practice Duration ~6 Years of Practice (2018 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Ingram, PhD, LSW was a registered Social Worker - Clinical practicing in Columbus, OH. Throughout an active medical career spanning 6 years, Dr. Ingram provided care at the practice location at 2865 W BROAD ST until profile deactivation on 2024-03-13.

Practice Location & Contact Primary Location

Practice Address

2865 W Broad St

Columbus, OH 432042643

Telephone 6143848000

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
1411 Specialists

Practicing in Columbus, OH (10077 Statewide)

Telehealth Adoption Rate
4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OH S18829

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Caryn Berger , MSW, LISW-S

Social Worker - Clinical

NPI 1164880530

Master of Social Work, LISWS

Ashley Simon , LPC

Counselor - Professional

NPI 1316452956

Licensed Professional Counselor

Hodho Arab

Counselor

NPI 1659870715
Jesse Schroeder , LISW-S

Social Worker - Clinical

NPI 1952762312

LISWS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 13, 2024

Record deactivated on March 13, 2024

NPI Profile Active April 19, 2018

NPI status registered as active in NPPES database

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Updated Practice Location April 19, 2018

Registered at 2865 W BROAD ST, COLUMBUS, OH 432042643 (Tel: 6143848000)

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Updated Business Mailing Address April 19, 2018

Registered at 228 POWHATAN AVE, COLUMBUS, OH 432041915

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Provider Name / Credentials Updated April 19, 2018

Recorded as MARK INGRAM, PH.D., LSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2018

Social Worker (License #S18829 in OH)

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Initial NPI Registration & Enumeration April 19, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700373347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2018
Last Update: April 19, 2018
Deactivation Date: March 13, 2024

Mailing Address

228 Powhatan Ave

Columbus, OH 432041915

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.