Nicole Monique Ford, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19283 Issued in MD

Practice address

1 George and Marion Phelps LN
Annapolis, MD 21401-4111

Phone

(410) 222-1626

NPI assigned

Nov 4, 2022

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

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": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1699482018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GEORGE AND MARION PHELPS LN",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014111",
            "telephone_number": "410-222-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GEORGE AND MARION PHELPS LN",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014111",
            "telephone_number": "410-222-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "NICOLE",
        "middle_name": "MONIQUE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Fonseca, LCSW-C
• Piyumi Lanka Fonseka, MD
• Wai Leong Foo, D.O.
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Mary Elizabeth Ford, CRNP
• Form and Motion Physical Therapy, LLC
• Dwight Norbert Fortier
• Judith A Foster, ACNP-BC
• Keith Thomas Foster, PH.D.
• Sylvia Foster, MD

• Clinical Social Worker in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.