Kerry Elsie Ford, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3000 Issued in SD

Practice address

4300 S Louise Ave Ste 201
Sioux Falls, SD 57106-3124

Phone

(605) 334-7713

Fax

(605) 334-5248

NPI assigned

Jul 12, 2011

Last updated

May 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Kerry Ford Lea Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1053609057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S LOUISE AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063124",
            "telephone_number": "605-334-7713",
            "fax_number": "605-334-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S LOUISE AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063124",
            "telephone_number": "605-334-7713",
            "fax_number": "605-334-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KERRY",
        "middle_name": "ELSIE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "10079",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "3000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575260",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "LEA",
            "middle_name": "FORD",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• For Life Therapy Sioux Falls Inc
• Lisa Marie Forbeck, MD
• Ashley Ford
• Garet Ford, PA-C
• Julie Kristine Ford, PHARM.D.
• Olivia Ford, M.A.
• Kennedy Ann Forest
• Rory Forest
• Jacob Allen Formiller
• Dena Marie Fornwald, MA CCC-SLP

• Social Worker in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.