Individual provider Active NPI

Christina Jeanette Ford

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1225668825
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008830 Issued in VA
Practice address
750 E 6TH St
Richmond, VA 23224-5552
Phone
(804) 977-5949
NPI assigned
Jan 22, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 0904008830 VA Primary

Addresses

Primary practice location

750 E 6TH St
Richmond, VA 23224-5552

Mailing address

3308 Ransom Hills Rd
North Chesterfield, VA 23237-3573
Phone (804) 502-9044

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cford@myinnovage.com Direct InnovAge Virginia PACE II, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904008830VAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: cford@myinnovage.com

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1225668825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 RANSOM HILLS RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232373573",
            "telephone_number": "804-502-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E 6TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232245552",
            "telephone_number": "804-977-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CHRISTINA",
        "middle_name": "JEANETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cford@myinnovage.com",
            "affiliation": "Y",
            "endpointDescription": "Email address",
            "affiliationName": "InnovAge Virginia PACE II, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "750 E 6th St",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232245552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.