Individual provider Active NPI

Joseph Allen Ford, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1619950235
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002422 Issued in VA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
088479OtherVAANTHEM BC/BS
195633OtherILCOMPSYCH
11412343OtherVACAQH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
George Ennels, Counseling and Consulting Services, LLC Past Accepting new patients
Adult and Pediatric Medical Associates, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.