Sheryl R Ford, LCSW, ACH

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-31214 Issued in ID

Practice address

3225 W Bavaria St Ste 123
Eagle, ID 83616-5547

Phone

(208) 350-1576

NPI assigned

May 19, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Merritt Health and Wellness LLC

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1437403623
  Medicare reassignment NPD

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1366979486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E CHOLLA HILLS ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465679",
            "telephone_number": "208-350-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 W BAVARIA ST STE 123",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165547",
            "telephone_number": "208-350-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "SHERYL",
        "middle_name": "R",
        "credential": "LCSW, ACH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "6409",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-31214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LCSW-31214",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6409",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iris Stephany Flores, M.S.
• Courtney Nicole Flynn, NP
• Fmi Center of Optimal Health
• Lynette Fogg
• Dani A Forbess, NTP
• Fox River Senior Living LLC
• Christopher Fox, DPT
• Christi E Franks, FNP-BC
• Nickolas Fransen, ACUPUNCTURIST
• James Robert Frisk, PHAMRACIST

• Clinical Social Worker in Eagle, ID
• Providers in Eagle, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.