Individual provider Active NPI

Christopher Dennis Ford, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1043419401
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4321 Issued in KS
Practice address
729 1/2 Massachusetts St
Suite 209
Lawrence, KS 66044-2345
Phone
(785) 423-4322
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4321 KS Primary

Addresses

Primary practice location

729 1/2 Massachusetts St
Suite 209
Lawrence, KS 66044-2345

Mailing address

729 1/2 Massachusetts St
Suite 209
Lawrence, KS 66044-2345
Phone (785) 423-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141104002274 KS Practitioner - Clinical Social Worker 8527280601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

729 /2 Massachusetts St
Suite 209
Lawrence, KS 66044-2257
Phone (785) 423-4322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4321KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Ford, Lscsw, LLC CurrentSince Jan 29, 2015 Accepting new patients
Bert Nash Community Mental Health Center Inc CurrentSince Sep 27, 2014 Accepting new patients

Locations

729 Massachusetts St
Ste 209
Lawrence, KS 66044
Phone (785) 423-4322

200 Maine St
Ste A
Lawrence, KS 66044
Phone (785) 832-8192

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1043419401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 1/2 MASSACHUSETTS ST",
            "address_2": "SUITE 209",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442345",
            "telephone_number": "785-423-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 1/2 MASSACHUSETTS ST",
            "address_2": "SUITE 209",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442345",
            "telephone_number": "785-423-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CHRISTOPHER",
        "middle_name": "DENNIS",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.