Susannah Ford, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · South Portland, ME
NPI 1275705246 · NPPES record last updated Apr 25, 2011
Key facts
- NPI
- 1275705246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC5708 (ME)
- Practice address
- 131 Ocean St
South Portland, ME 04106-3649 - Phone
- (207) 799-1873
- NPI assigned
- Mar 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.67 of 100
- Quality
- 60.7
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 73.8
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC5708 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital | Past | Accepting new patients | |
| Maine Behavioral Healthcare | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC5708 | ME | Yes |
Addresses
Primary practice location
131 Ocean St
South Portland, ME 04106-3649
Mailing address
142 Ocean House Rd
Cape Elizabeth, ME 04107-1123
Phone (207) 347-9357
Other providers in South Portland, ME
- Rachel Fogarty
- Raychel M Fogg
- Colleen M. Foley-Ingersoll
- For Me, LLC
- Caitlin A. Forcier
- Fore River Urology LLC
- Fore River Urology LLC
- Fore River Urology LLC
- Gregory Foster
- Melissa Fowler
All providers in South Portland, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.