Active NPI
Kathryn Ford, MPH, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1710766290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081541-1
- Practice address
- 450 7TH Ave Ste 809
New York, NY 10123-0805 - Phone
- (212) 575-2622
- NPI assigned
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 081541-1 | NY | Primary |
Addresses
Primary practice location
450 7TH Ave Ste 809
New York, NY 10123-0805
Mailing address
290 Potter PL Apt 103
Weehawken, NJ 07086-9018
Phone (347) 224-1376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081541-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1710766290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 POTTER PL APT 103",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "070869018",
"telephone_number": "347-224-1376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 7TH AVE STE 809",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101230805",
"telephone_number": "212-575-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KATHRYN",
"credential": "MPH, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081541-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.