Active NPI
Aillen Ford, LCSW
- Clinical Social Worker
- Maxwell Afb, AL
National Provider Identifier
1306304589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.016270
- Practice address
- 300 Twining St BLDG 760
Maxwell Afb, AL 36112-6027 - Phone
- (334) 953-3368
- Fax
- (334) 953-8607
- NPI assigned
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 149.016270 | IL | Primary |
Addresses
Primary practice location
300 Twining St BLDG 760
Maxwell Afb, AL 36112-6027
Mailing address
300 Twining St BLDG 760
Maxwell Afb, AL 36112-6027
Phone (334) 953-3368
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 |
|---|---|---|---|
| 149.016270 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1306304589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 TWINING ST BLDG 760",
"city": "MAXWELL AFB",
"state": "AL",
"postal_code": "361126027",
"telephone_number": "334-953-3368",
"fax_number": "334-953-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TWINING ST BLDG 760",
"city": "MAXWELL AFB",
"state": "AL",
"postal_code": "361126027",
"telephone_number": "334-953-3368",
"fax_number": "334-953-8607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "AILLEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.016270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maxwell Afb, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.