CHERYL ANN FORD (NPI# 1972933315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972933315 |
| Entity Type | Individual |
| Full Name | CHERYL ANN FORD |
| Credential | LCSW, LADC |
| Practice Address |
100 Elizabeth St Derby CT 06418-1819 |
| Mailing Address |
38 Old Ridgebury Rd Danbury CT 06810-5128 |
| Practice Telephone | 2034622252 |
| Practice Fax Number | 2034622262 |
| Mailing Telephone | 2037924515 |
| Mailing Fax Number | 2037482604 |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000922 | CT | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
003497 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720385206 | Cheryl S Ford | Driver | 4745 Poplar Ave, Suite 312, Memphis, TN 38117-4430 | 2011-02-18 |
| 1780828491 | Cheryl Denise Ford | Dietitian, Registered | 3430 Lone Valley Rd, Calvert City, KY 42029-8320 | 2009-04-24 |
| 1528206802 | Cheryl Lynn Ford | Home Health Aide | 132 Lake Country, Lakehills, TX 78063 | 2009-01-26 |
| 1609330646 | Cheryl Ford | Family Medicine | 20414 N 27th Ave Ste 300, Phoenix, AZ 85027-3254 | 2019-01-23 |
| 1184964611 | Cheryl A Ford | Occupational Therapist | 850 Nellie St, Greenfield, OH 45123-1567 | 2013-02-20 |
| 1427326990 | Cheryl Denise Ford | Occupational Therapist | 5535 S Williamson Blvd, Ste # 774, Port Orange, FL 32128-8311 | 2011-12-12 |
| 1790924009 | Cheryl Lynn Ford | Community Health Worker | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2009-02-10 |
| 1972649069 | Cheryl M Ford | Counselor | 547 Dayton St, Edmonds, WA 98020-3431 | 2007-01-29 |
| Street Address |
100 ELIZABETH ST |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841348562 | Rona B Wall | Social Worker | 100 Elizabeth St, 2nd Floor, Derby, CT 06418-1819 | 2007-01-08 |
| 1184136236 | Camsie Thickett | Counselor | 100 Elizabeth St, Derby, CT 06418-1819 | 2017-10-30 |
| 1811409964 | Olivia Anne D'amicis | Counselor | 100 Elizabeth St, Derby, CT 06418-1819 | 2017-10-30 |
| 1154831394 | Abigail Davis Wolff | Counselor | 100 Elizabeth St, Derby, CT 06418-1819 | 2017-10-02 |
| 1700210838 | Theodore John Maturo | Social Worker | 100 Elizabeth St, Derby, CT 06418-1819 | 2013-08-26 |
| 1659427508 | Raoul Joseph Muszynski | Counselor | 100 Elizabeth St, Derby, CT 06418-1819 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063918571 | Amy Tinney | Social Worker | 42 Coppola Ter, Derby, CT 06418-1131 | 2018-04-03 |
| 1477065407 | Twin Peaks Counseling, LLC | Social Worker | 303 Roosevelt Dr, Derby, CT 06418-1629 | 2017-10-31 |
| 1942699459 | Cathy Louisa Pepe | Social Worker | 39 Harold Ave, Derby, CT 06418-2315 | 2015-01-21 |
| 1275777328 | Derby Emotional Wellness | Social Worker | 1721 E Osage, Suite 300, Derby, KS 67037-2290 | 2009-04-20 |
| 1841348562 | Rona B Wall | Social Worker | 100 Elizabeth St, 2nd Floor, Derby, CT 06418-1819 | 2007-01-08 |
| 1477637403 | Patricia Donati | Social Worker | 183 Elizabeth St, Derby, CT 06418-1813 | 2006-10-25 |
| 1336229012 | Rebecca Willow Senzer | Social Worker | 59 Elizabeth St, Suite 201, Derby, CT 06418-1852 | 2006-10-16 |
| 1063525764 | Barbara Ann Wolfrum | Social Worker | 984 Backus Rd, Derby, NY 14047-9511 | 2006-08-16 |
| 1740243237 | Catherine I Baker | Social Worker | 425 N Baltimore, Ste 1, Derby, KS 67037 | 2006-04-07 |
| 1972507457 | Alicia M Landsverk | Social Worker | 1721 E Osage Rd, Ste 300, Derby, KS 67037-2092 | 2005-06-13 |
| Find all providers in DERBY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.