Anne J Ford MSW Licsw LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

10268 Issued in MN

Legal business name

ANNE J FORD MSW LICSW LLC

Practice address

9810 Edgewood Rd
Bloomington, MN 55438-1755

Phone

(612) 817-1757

NPI assigned

Aug 20, 2008

Last updated

Aug 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anne Judith Ford, LICSW

Title

Therapist

Phone

(612) 817-1757

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1205083417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 EDGEWOOD RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381755",
            "telephone_number": "612-817-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 EDGEWOOD RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381755",
            "telephone_number": "612-817-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE J FORD MSW LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "JUDITH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "612-817-1757",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "10268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.