Active NPIIndividual providerSole proprietor

Marissa R Ford, LICSW

Social Worker, Clinical in Greenville, Rhode Island

NPI Number1720423783
Practice location
7 Austin Ave, Greenville, RI 02828-1520
Fax
—
Last updated
August 29, 2024

Marissa Renee Ford is a Social Worker, Clinical based in Greenville, RI. Marissa Renee Ford practices in Greenville, RI and has the professional credentials of LICSW. The NPI Number for Marissa Renee Ford is 1720423783 and holds a License No. ISW03654 (RI). The current practice location address for Marissa Renee Ford is 7 Austin Ave, Greenville, RI 02828-1520 and can be reached out via phone at 401-349-3131.

Provider Profile Details

NPI Number
1720423783
Provider Name
Marissa Renee Ford
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
7 Austin Ave, Greenville, RI 02828-1520
Phone Number
401-349-3131
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 3, 2013
Last Update Date
August 29, 2024
Certification Date
August 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Austin Ave
Greenville, RI 02828-1520
Zip
02828-1520
Phone Number
401-349-3131
Greenville, RI 02828Get directions →

Provider Business Mailing Address Details

Address
4800 N Scottsdale RD Ste 2500
Scottsdale, AZ 85251-7630
City
Scottsdale
State
AZ
Zip
85251-7630
Phone Number
401-349-3131

License Information

Taxonomy (1)
Early Intervention Provider Agency · 252Y00000X
License Number (2)
ISW03654
License State (2)
RI
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marissa R Ford, LICSW?

The NPI number of Marissa R Ford, LICSW is 1720423783. It was assigned on May 3, 2013 and is currently active in the NPPES registry.

What is the specialty of Marissa R Ford, LICSW?

Marissa R Ford, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW03654.

Where does Marissa R Ford, LICSW practice?

The practice location is 7 Austin Ave, Greenville, RI 02828-1520. The office can be reached at 401-349-3131 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720423783 directly on the NPPES registry website.

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