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Contact Information

CARLA A FORD, LCSW
1758 W 100S
JAY COUNTY HOPSITAL BEHAVIORAL HEALTH
PORTLAND, IN47371
 Phone: 260-726-1865
 Fax: 260-726-1901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CARLA A FORD · (Female)

NPI Number 1922125384
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 03/23/2007
Last updated 02/15/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 34005252A
Hospital affiliation(s) Not Available
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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