Individual provider · Type 1 NPI

Evisha Shavonn Ford

Clinical Social Worker · Tinley Park, IL

NPI number 1720570401 Active

Practice location

18501 Maple Creek Dr Ste 200
Tinley Park, IL 60477-6779

Call (708) 798-4200 Map

Mailing address

2228 Macdonald Ln
Flossmoor, IL 60422-1340

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149011399 (IL)

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 1720570401

Evisha Shavonn Ford's National Provider Identifier is 1720570401, issued on May 30, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tinley Park, IL. The record was last updated on Feb 25, 2026.