Provider Demographics
NPI:1699917724
Name:INGRAM, KATHERINE MACDNALD
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:MACDNALD
Last Name:INGRAM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3036 CAMBRIDGE PL NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2913
Mailing Address - Country:US
Mailing Address - Phone:202-337-3533
Mailing Address - Fax:
Practice Address - Street 1:3036 CAMBRIDGE PL NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2913
Practice Address - Country:US
Practice Address - Phone:202-337-3533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3019721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical