Individual provider · Type 1 NPI

Tyrone D. Ford, LCSW

Clinical Social Worker · Fairview Heights, IL

NPI number 1255009882 Active

Practice location

10850 Lincoln Trl # 20-1861
Fairview Heights, IL 62208-0339

Fax (618) 416-2708

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.018180 (IL)
Clinical Social Worker 1041C0700X2016002322 (MO)

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 1255009882

Tyrone D. Ford, LCSW's National Provider Identifier is 1255009882, issued on Aug 30, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairview Heights, IL. The record was last updated on Dec 9, 2024.