Individual provider · Type 1 NPI

Nicole Beverly Ford

Clinical Social Worker · Newport, WA

NPI number 1891095584 Active

Practice location

105 S. Garden Ave.
Newport, WA 99156-5055

Call (509) 447-5651 Map

Fax (509) 447-5651

Mailing address

PO Box 5055, 105 S. Garden Ave.
Newport, WA 99156-5055

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1891095584

Nicole Beverly Ford's National Provider Identifier is 1891095584, issued on Oct 27, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newport, WA. The record was last updated on Sep 3, 2013.