Active NPI
Katherine Ford
- Clinical Social Worker
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.027292
- Practice address
- 5107 N Bleck Rd
Michigan City, IN 46360-9147 - Phone
- (219) 229-4095
- NPI assigned
- Jun 4, 2020
- Last updated
- Jul 6, 2025
- 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 | 149.027292 | IL | Primary |
Addresses
Primary practice location
5107 N Bleck Rd
Michigan City, IN 46360-9147
Mailing address
5107 N Bleck Rd
Michigan City, IN 46360-9147
Phone (219) 229-4095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Lake St
Oak Park, IL 60301-1135
Phone (773) 665-8052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Love Parenting Center | Current | Accepting new patients |
Locations
800 W Buena Ave
Chicago, IL 60613
Phone (773) 327-6000
1010 Lake St
Ste 500
Oak Park, IL 60301
Phone (708) 524-8600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pediatric Counseling Center
- Community/Behavioral Health Agency
- Oak Park, IL
- NPI 1922206101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751760000000",
"number": "1386268357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5107 N BLECK RD",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463609147",
"telephone_number": "219-229-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5107 N BLECK RD",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463609147",
"telephone_number": "219-229-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2025-07-06",
"certification_date": "2025-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.027292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.