Individual provider · Type 1 NPI

Lakeasha Shanell Ford, LICSW

Clinical Social Worker · Fort Bragg, NC

NPI number 1174369938 Active

Practice location

2817 Rock Merritt Ave
Fort Bragg, NC 28310-4364

Fax (910) 907-6069

Mailing address

2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-0001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X5792C-S (AL)
Clinical Social Worker 1041C0700XC019259 (NC)
Clinical Social Worker Primary 1041C0700X5792C (AL)
Clinical Social Worker 1041C0700X9581 (TN)
Clinical Social Worker 1041C0700X117584 (TX)

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 1174369938

Lakeasha Shanell Ford, LICSW's National Provider Identifier is 1174369938, issued on Jul 2, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Bragg, NC. The record was last updated on Dec 15, 2025.