# MISS INGRID MARIA MIDDLETON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750695714
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904010155 | VA | — |
| 1041C0700X | Clinical Social Worker | 3636 | HI | — |
| 1041C0700X | Clinical Social Worker | 77519 | CA | Yes |

## Other

- **Enumeration date:** 08/02/2010
- **Last updated:** 07/23/2025
