Individual provider · Type 1 NPI

Jennifer Lauren Ford, LCSW

Clinical Social Worker · Winston Salem, NC

NPI number 1134481062 Active

Practice location

2200 Cloverdale Ave Ste 410
Winston Salem, NC 27103-2300

Fax (336) 713-4501

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC009135 (NC)

Clinical Social Worker: 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 interpers…

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About NPI 1134481062

Jennifer Lauren Ford, LCSW's National Provider Identifier is 1134481062, issued on Jun 15, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 8, 2026.