Provider Demographics
NPI:1144605601
Name:RANSOM, INGRID KIMBERLY (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:INGRID
Middle Name:KIMBERLY
Last Name:RANSOM
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-322-7127
Mailing Address - Fax:615-875-5955
Practice Address - Street 1:3841 GREEN HILLS VILLAGE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2691
Practice Address - Country:US
Practice Address - Phone:615-322-7127
Practice Address - Fax:615-875-5955
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000009947101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool