Maureen D Ford, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R054397-1 Issued in NY

Practice address

4 Liberty St
New Paltz, NY 12561-4316

Phone

(845) 340-4000

Fax

(845) 340-4070

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629140850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LIBERTY ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125614316",
            "telephone_number": "845-340-4000",
            "fax_number": "845-340-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LIBERTY ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125614316",
            "telephone_number": "845-340-4000",
            "fax_number": "845-340-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MAUREEN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R054397-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "R054397-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel A. Fischer, DDS
• Abigail Geffen Fitzpatrick, LCSWR
• Gerald A Fix, PH.D.
• Linda Flyntz Rubin, MS, CCC-SLP
• Mary Danielle Forbear, PA-C
• Gregory Forte, MSED
• Bridget Foy, DO
• Elaine Marie Frazier, RN
• Mackenzie Taylor Fred, LMSW
• Vincenza Margaret Freeborn, LCSW, CASAC

• Mental Health Counselor in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.