Active NPI
Amanda Christine Ford, LCSW
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1063379477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111528
- Practice address
- 1015 N Carroll Ave Ste 104
Dallas, TX 75204-6607 - Phone
- (469) 269-2488
- NPI assigned
- Jan 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111528 | TX | Primary |
Addresses
Primary practice location
1015 N Carroll Ave Ste 104
Dallas, TX 75204-6607
Mailing address
4116 Rawlins St Apt 108
Dallas, TX 75219-3992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260128004586 | TX | Practitioner - Clinical Social Worker | 5395223622 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geode Health of Texas, PLLC
Practice addresses (Care Compare)
1015 N Carroll Ave
Suite 104
Dallas, TX 75204-6607
Phone (469) 442-3434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111528 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geode Health of Texas, PLLC | Current | Accepting new patients | |
| BSW Geode Clinicians of Texas PLLC | Current | Accepting new patients |
Locations
11882 Greenville Ave
Ste B101
Dallas, TX 75243
Phone (469) 613-3011
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": "1767744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1063379477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4116 RAWLINS ST APT 108",
"city": "DALLAS",
"state": "TX",
"postal_code": "752193992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 N CARROLL AVE STE 104",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046607",
"telephone_number": "469-269-2488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "AMANDA",
"middle_name": "CHRISTINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-07",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "111528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.