Organization
INGERSOLL ASSOCIATES LLC
Active
Organization
INGERSOLL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINA INGERSOL LICSW (OWNER)
(651) 429-0838
Entity
Organization
Contact information
Practice address
5522 W BALD EAGLE BLVD, WHITE BEAR LAKE, MN 55110-6412
(651) 429-0838
Mailing address
5522 W BALD EAGLE BLVD, WHITE BEAR LAKE, MN 55110-6412
(651) 429-0838
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01313
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220058900
—
MN
01
—
56088DR
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/18/2006
Last updated
11/24/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up