Individual provider Active NPI

Ella Grace Ford, LCSW

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1205972395
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2120 Northgate Park LN Ste 201
Chattanooga, TN 37415
Phone
(423) 870-5647
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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 Primary

Addresses

Primary practice location

2120 Northgate Park LN Ste 201
Chattanooga, TN 37415

Mailing address

2120 Northgate Park LN Ste 201
Chattanooga, TN 37415-6952
Phone (423) 870-5647

Other practice location 1

585 S Riverside Dr Ste G
Clarksville, TN 37040-3107
Phone (931) 503-0777 ext. 1027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20190830002284 TN Practitioner - Clinical Social Worker 1355670258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Transformation CenterGroup PAC ID 6800137209, 8 clinicians

Practice addresses (Care Compare)

7209 Hamilton Acres Cir
Chattanooga, TN 37421-8623
Phone (423) 499-9335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Transformation Center CurrentSince Aug 17, 2023 Accepting new patients

Locations

1611 Railroad St
Dayton, TN 37321
Phone (423) 499-9335

Organizations & group practices 1

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1205972395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 NORTHGATE PARK LN STE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156952",
            "telephone_number": "423-870-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 NORTHGATE PARK LN STE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37415",
            "telephone_number": "423-870-5647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 S Riverside Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370403107",
            "country_code": "US",
            "telephone_number": "931-503-0777 x1027",
            "fax_number": "931-503-0703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "ELLA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.