MEDICARE: LESLIE CHRISTINE INGRAM PLMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	PLMSW	AR

General Provider Information

NPI Number	:	1710838669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE CHRISTINE INGRAM PLMSW

Provider Business Mailing Address
First Line	:	403 S POPLAR ST STE F
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-6000
Country	:	US
Telephone Number	:	501-279-9220
Fax Number	:	501-279-9450

Provider Business Practice Location Address
First Line	:	403 S POPLAR ST STE F
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-6000
Country	:	US
Telephone Number	:	501-279-9220
Fax Number	:	501-279-9450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “ LESLIE CHRISTINE INGRAM PLMSW” Practice Location

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