Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ingrid L Shadow, LCSW

Individual provider Clinical Social Worker · NPI 1063272292

Ingrid L Shadow, LCSW is a Clinical Social Worker in Fort Worth, Texas. Qualified in 1999, 27 years ago. Practices with Total Life Inc, a 112-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
27
Licensed in
TX
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3540 Manderly Pl
Fort Worth, TX 76109-4520
Phone: (817) 739-8170
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1607 N Main St Ste A, Cleburne, TX 76033-3875 — (817) 739-8170

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 35298 (TX)

Record details

NPI number1063272292
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 22, 2024
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Total Life Inc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Worth