Active NPI
Christina Jeanette Ford
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1225668825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904008830
- Practice address
- 750 E 6TH St
Richmond, VA 23224-5552 - Phone
- (804) 977-5949
- NPI assigned
- Jan 22, 2020
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904008830 | VA | MD | Clinical Social Worker |
Interoperability endpoints
- 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.