Active NPI
Sandra Nicole Ford, LICSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1740695378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50081449
- Practice address
- 1638 R St NW Ste 310
Washington, DC 20009-6446 - Phone
- (202) 505-1850
- Fax
- (202) 888-0213
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904010042 | VA | |
| Clinical Social Worker | 1041C0700X | LC50081449 | DC | Primary |
| Clinical Social Worker | 1041C0700X | 25681 | MD | |
| Clinical Social Worker | 1041C0700X | CSW004885 | GA |
Addresses
Primary practice location
1638 R St NW Ste 310
Washington, DC 20009-6446
Mailing address
1638 R St NW Ste 310
Washington, DC 20009-6446
Phone (202) 505-1850
Other names 1
- Nikki Ford
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 |
|---|---|---|---|
| LC50081449 | DC | MD | Clinical Social Worker |
| CSW004885 | GA | MD | Clinical Social Worker |
| 0904010042 | VA | MD | Clinical Social Worker |
| 25681 | MD | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1740695378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1638 R ST NW STE 310",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200096446",
"telephone_number": "202-505-1850",
"fax_number": "202-888-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 R ST NW STE 310",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200096446",
"telephone_number": "202-505-1850",
"fax_number": "202-888-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "SANDRA",
"middle_name": "NICOLE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904010042",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50081449",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "25681",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004885",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIKKI",
"last_name": "FORD",
"credential": "LICSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.