National Provider Identifier Database

AMY D FORD, LSCSW – NPI #1205871613
Clinical

A social worker who holds a master?s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master?s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.


Contact Information

AMY D FORD, LSCSW
1601 W 4TH ST
COFFEYVILLE, KS67337-3333
Phone: 620-252-8180
Fax: 620-332-1940
Website:
Specialty Taxonomy Code
* Clinical 1041C0700X
Addiction (Substance Use Disorder) 101YA0400X

* Indicates primary specialty

NPI Profile & details for AMY D FORD

NPI Number 1205871613
Credentials LSCSW
Entity Individual
Enumeration date 06/19/2006
Last updated 03/27/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • KS License #: 348
  • KS License #: LSCSW 3833
  • KS Medicaid: 200435870A
  • KS Other: 6919003 MEDICARE PTAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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