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

Marissa Ingram

Individual provider Community Health Worker · NPI 1235834383

Marissa Ingram is a Community Health Worker in Santa Rosa, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

100 Childrens Cir
Santa Rosa, CA 95409-6558
Phone: (707) 565-6322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1235834383
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

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