Active NPI
Joseph Allen Ford, LCSW
- Clinical Social Worker
- Norfolk, VA
National Provider Identifier
1619950235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904002422
- Practice address
- 2412 E Virginia Beach Blvd
Suite D
Norfolk, VA 23504-3628 - Phone
- (757) 622-7474
- Fax
- (757) 622-8585
- NPI assigned
- Nov 29, 2005
- Last updated
- Jul 9, 2007
- Sex
- Male
- 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 | 0904002422 | VA | Primary |
Addresses
Primary practice location
2412 E Virginia Beach Blvd
Suite D
Norfolk, VA 23504-3628
Mailing address
1605 Sword CT
Virginia Beach, VA 23464-8117
Phone (757) 479-2314
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088479 | Other | VA | ANTHEM BC/BS |
| 195633 | Other | IL | COMPSYCH |
| 11412343 | Other | VA | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070305000146 | VA | Practitioner - Clinical Social Worker | 1254433626 | Practice locations: Virginia Beach, VA; Norfolk, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1605 Sword CT
Virginia Beach, VA 23464-8117
Phone (757) 622-7474
2412 E Virginia Beach Blvd
D
Norfolk, VA 23504-3604
Phone (757) 622-7474
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George Ennels, Counseling and Consulting Services, LLC | Past | Accepting new patients | |
| Adult and Pediatric Medical Associates, PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8293/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Chesapeake, VA
- NPI 1871709899
-
- Community/Behavioral Health Agency
- Norfolk, VA
- NPI 1497122105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1619950235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 SWORD CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234648117",
"telephone_number": "757-479-2314",
"fax_number": "757-622-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 E VIRGINIA BEACH BLVD",
"address_2": "SUITE D",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235043628",
"telephone_number": "757-622-7474",
"fax_number": "757-622-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "JOSEPH",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904002422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "088479",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "195633",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11412343",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.