Michael David Ford, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW102854 Issued in CA

Practice address

1695 N Sunrise Way Ste 101
Palm Springs, CA 92262-5572

Phone

(760) 323-2118

Fax

(760) 416-1651

NPI assigned

Apr 20, 2022

Last updated

Apr 20, 2022By 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 CA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Los Angeles LGBT Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1548298532

  Clinical

  Medicare reassignment NPD
• Los Angeles LGBT Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1225599178
  NPD
• Dap Health, Inc.

  dba DAP Health-Anza Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Anza, CA
  • NPI 1942623657
  NPD (past)

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1598408155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 N SUNRISE WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623701",
            "telephone_number": "760-323-2118",
            "fax_number": "760-416-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 N SUNRISE WAY STE 101",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625572",
            "telephone_number": "760-323-2118",
            "fax_number": "760-416-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW102854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Flores
• Melissa Fogle, LMFT
• Tammy Elizabeth Fogle
• Lynn Marie Fontana
• Palmer John Fontanarosa
• Morgan Ford, DO
• Forgeron Physical Therapy
• Barbara Lynn Forgeron, PT
• Jay Arthur Forgeron, PT
• Maureen Harris Forman, LCSW

• Clinical Social Worker in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.