| Christopher Ford, Lscsw, LLC | |
|
729 1/2 Massachusetts St Suite 209 Lawrence KS 66044-2345 | |
| (785) 423-4322 | |
| Not Available |
| Full Name | Christopher Ford, Lscsw, LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 729 1/2 Massachusetts St, Lawrence, Kansas |
| Authorized Official Name and Position | Christopher Ford (OWNER) |
| Authorized Official Contact | 7854234322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Ford, Lscsw, LLC 729 1/2 Massachusetts St Suite 209 Lawrence KS 66044-2345 Ph: (785) 423-4322 | Christopher Ford, Lscsw, LLC 729 1/2 Massachusetts St Suite 209 Lawrence KS 66044-2345 Ph: (785) 423-4322 |
| NPI Number | 1134519341 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 01/26/2015 |
| Medicare PECOS PAC ID | 3971829300 |
|---|---|
| Medicare Enrollment ID | O20150303000844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134519341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4321 (Kansas) | Primary |
| Provider Name | Christopher D Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043419401 PECOS PAC ID: 8527280601 Enrollment ID: I20141104002274 |
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