Marques Edward Ford, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015767 Issued in NC

Practice address

3300 Battleground Ave Ste 202
Greensboro, NC 27410-2490

Phone

(336) 285-7173

Fax

(336) 285-7174

NPI assigned

Jun 11, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Sel Group

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1407012966

  Single Specialty

  NPD

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1669734190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BATTLEGROUND AVE STE 202",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102490",
            "telephone_number": "336-285-7173",
            "fax_number": "336-285-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BATTLEGROUND AVE STE 202",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102490",
            "telephone_number": "336-285-7173",
            "fax_number": "336-285-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MARQUES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015767",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Elise Forbes, MA, CCC-SLP
• Allison Horton Ford, PT
• Debra Joan Ford, MS, LAT, ATC
• Jerry Ford
• Kelsey Nicole Ford, PA-C
• Paris S Ford, OT
• Phileecia Ford
• Preston Lee Ford, DDS
• Tonya Dianne Fordham
• Lyric Foreman

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.