Elaine Ford, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078688-1 Issued in NY

Practice address

111 Nesconset Hwy
Suite 108
Hauppauge, NY 11788-2524

Phone

(631) 987-2066

Fax

(631) 581-8744

NPI assigned

Mar 13, 2013

Last updated

May 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elaine Ford Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1417298662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 ORANGE ST",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224315",
            "telephone_number": "631-987-2066",
            "fax_number": "631-581-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NESCONSET HWY",
            "address_2": "SUITE 108",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882524",
            "telephone_number": "631-987-2066",
            "fax_number": "631-581-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078688-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "FORD",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alan S. Flicker, PH.D.
• Nikki Taylor Fogarty, LMSW
• Kaela Fogelstrom, MS, OTR/L
• Susan Folks
• Samantha Elizabeth Fontana, LMHC
• Elliot Lance Forman, D.C.
• Deandra Foster
• Migdalia Fox
• Deborah Frallicciardi, M.S. EDUCATION
• Leonard Martin Framson, PT

• Clinical Social Worker in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.