=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265347454
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | INGRID LIZETH MCNAIR LSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/14/2026
-----------------------------------------------------
Last Update Date | 08/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 235 TABLE ROCK RD
-----------------------------------------------------
City | GETTYSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17325-8552
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-375-6019
-----------------------------------------------------
Fax | 877-357-5106
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5475 STERLING BRIDGE RD
-----------------------------------------------------
City | CHAMBERSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17202-7358
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-386-0727
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | SW144653
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------