Active NPI
Brenda Fowler Ford, LCSW
- Clinical Social Worker
- Fort Hood, TX
National Provider Identifier
1790791408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21896
- Practice address
- BLDG 2255
Department of Social Work
Fort Hood, TX 76544 - Phone
- (254) 288-6474
- Fax
- (254) 288-8358
- NPI assigned
- Aug 1, 2006
- 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 | 21896 | TX | Primary |
Addresses
Primary practice location
BLDG 2255
Department of Social Work
Fort Hood, TX 76544
Mailing address
36000 Darnall Loop
Carl R. Darnall Army Medical Center
Fort Hood, TX 76544
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 |
|---|---|---|---|
| 21896 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790791408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36000 DARNALL LOOP",
"address_2": "CARL R. DARNALL ARMY MEDICAL CENTER",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 2255",
"address_2": "DEPARTMENT OF SOCIAL WORK",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-288-6474",
"fax_number": "254-288-8358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "BRENDA",
"middle_name": "FOWLER",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "21896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Hood, TX
Sources for this page
- 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.