Anna Kristen Ford, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17618 Issued in MN

Practice address

24760 Hospital Drive
Red Lake, MN 56671-0249

Phone

(218) 679-3316

Fax

(218) 679-3990

NPI assigned

Jan 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Anna Kristen Kringen Former name

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": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1942446331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24760 HOSPITAL DR",
            "address_2": "PO BOX 249",
            "city": "RED LAKE",
            "state": "MN",
            "postal_code": "56671",
            "telephone_number": "218-679-3316",
            "fax_number": "218-679-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24760 HOSPITAL DRIVE",
            "city": "RED LAKE",
            "state": "MN",
            "postal_code": "566710249",
            "telephone_number": "218-679-3316",
            "fax_number": "218-679-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "ANNA",
        "middle_name": "KRISTEN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "KRINGEN",
            "middle_name": "KRISTEN",
            "prefix": "MRS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karmen Fairbanks, LICSW
• Paul Jacob Faulkner, PHARMD
• Chad William Fegan, D.D.S.
• Randy Finn
• Caitlyn Michelle Fleahman, PHARMD
• Kailee Lynn Fretland, PHARM D
• Nathaniel Olakunle Fujamade, PHARMD
• James Gabriel
• Deaven Gisslen, PHARMD
• Stephanie Erin Glessing, PHARM.D.

• Clinical Social Worker in Red Lake, MN
• Providers in Red Lake, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.