Dwight Forde, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096276 Issued in MI

Practice address

220 N Main St
Adrian, MI 49221-2749

Phone

(517) 265-5352

Fax

(517) 263-6090

NPI assigned

May 23, 2014

Last updated

May 23, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center Point Counseling LLCGroup PAC ID 9234503236, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Center Point Counseling LLC

  • Clinical Social Worker
  • Tecumseh, MI
  • NPI 1144884263
  Medicare reassignment Care Compare group NPD
• Family Counseling and Children's Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Adrian, MI
  • NPI 1508990649
  NPD (past)
• Healing Minds RX LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tecumseh, MI
  • NPI 1518837913
  NPD (past)

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1588076632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212749",
            "telephone_number": "517-265-5352",
            "fax_number": "517-263-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212749",
            "telephone_number": "517-265-5352",
            "fax_number": "517-263-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDE",
        "first_name": "DWIGHT",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analis Floyd, DPT
• Frances Ann Foley, MSW, LMSW
• Gregory Foltz, RN, NP
• Alexis Ford
• Angela Ford
• Kristin Marie Forest
• Melissa Forlano, LLPC
• Jennifer Foss, PHARMD
• Sydney Rose Foster
• Fostering Solutions

• Clinical Social Worker in Adrian, MI
• Providers in Adrian, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.

Verify at the official NPI Registry.