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

Khaliyah Beverly Shanette Ingram

Individual provider Clinical Social Worker · NPI 1952285470

Khaliyah Beverly Shanette Ingram is a Clinical Social Worker in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

261 Olde Vineyard Ct
Winston Salem, NC 27104-4930
Phone: (336) 837-9923
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P019508 (NC)

Record details

NPI number1952285470
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 5, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 3, 2025

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