Carissa Ford, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW21941 Issued in FL

Practice address

11200 SW 8TH St
Miami, FL 33199-2516

Phone

(305) 348-5155

NPI assigned

Mar 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carrissa Ford Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: carissa.ford.1@27920.direct.athenahealth.com

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1437916988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 NW 189TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331992516",
            "telephone_number": "305-348-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CARISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRISSA",
            "last_name": "FORD",
            "credential": "CARRISSA FORD, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Riann Michelle Forbes
• Force Physical Therapy Coconut Grove LLC
• Force Physiotherapy Wynwood LLC
• Yanela Forcelledo Cruz
• Yaineris Forcelledo
• Henri Ronald Ford, MD
• John Chetley Ford, PHD
• Kelly Nicole Ford
• Nakia Ford
• Natasha E Ford, DH

• Clinical Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.