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

Mr. Victor Shawn Ingram, LCSW

Individual provider Clinical Social Worker · NPI 1043745557

Mr. Victor Shawn Ingram, LCSW is a Clinical Social Worker in Nellis AFB, Nevada. Qualified in 2016, 10 years ago. Practices with Beautiful Mind of Las Vegas LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
10
Licensed in
NV
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8413-C (NV)

Record details

NPI number1043745557
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 23, 2017
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Beautiful Mind Of Las Vegas Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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