Ingrid Shadow, LCSW
NPI 1063272292 · Clinical Social Worker · Fort Worth, TX
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ingrid Shadow, LCSW is a Clinical Social Worker provider in Fort Worth, TX (NPI 1063272292).
Provider details
- NPI number
- 1063272292
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 35298 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1607 N Main St Ste aCleburne, TX 76033-3875Phone: (817) 739-8170
Registry dates
- Enumerated
- 2024-03-22
- Last updated
- 2024-03-22
- Certified
- 2024-03-22
Frequently asked questions
- What is Ingrid Shadow's NPI number?
- Ingrid Shadow's National Provider Identifier (NPI) is 1063272292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ingrid Shadow's specialty?
- Ingrid Shadow is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ingrid Shadow located?
- Ingrid Shadow's practice location on file with NPPES is 3540 Manderly Pl, Fort Worth, TX 76109-4520.
- What is Ingrid Shadow's phone number?
- The practice phone number listed in the NPPES registry for Ingrid Shadow is (817) 739-8170.
- Does Ingrid Shadow accept Medicare?
- Ingrid Shadow is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ingrid Shadow's NPI active?
- Yes — Ingrid Shadow's NPI (1063272292) is active in the NPPES registry as of the last update on 2024-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.