Ms Terri R Ford-wolfgram, LCSW is a
Counselor - Mental Health based in Norfolk, Nebraska. Ms Terri R Ford-wolfgram is licensed to practice in Nebraska (license number 3624) and her current practice location is
110 N 16th St Ste 16, Norfolk, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 644-7314.
NPI number for Ms Terri R Ford-wolfgram is 1275738700 and her current mailing address is 110 N 16th St Ste 16, Norfolk, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275738700.
Healthcare Provider's Profile
| Full Name | Ms Terri R Ford-wolfgram |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 110 N 16th St Ste 16, Norfolk, Nebraska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275738700
- Provider Enumeration Date: 06/15/2007
- Last Update Date: 01/06/2011
Medical Identifiers
Medical identifiers for Ms Terri R Ford-wolfgram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275738700 | NPI | - | NPPES |
| 10025531200 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 1341 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 3624 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Terri R Ford-wolfgram is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Terri R Ford-wolfgram, LCSW 110 N 16th St Ste 16, Norfolk, NE 68701-3671 Ph: (402) 644-7314 | Ms Terri R Ford-wolfgram, LCSW 110 N 16th St Ste 16, Norfolk, NE 68701-3671 Ph: (402) 644-7314 |
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