SHERYL R FORD (NPI# 1366979486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366979486 |
| Entity Type | Individual |
| Full Name | SHERYL R FORD |
| Credential | LCSW, ACH |
| Practice Address |
3225 W Bavaria St Ste 123 Eagle ID 83616-5547 |
| Mailing Address |
808 E Cholla Hills St Meridian ID 83646-5679 |
| Practice Telephone | 2083501576 |
| Mailing Telephone | 2083501576 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2018-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6409 | OR | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-31214 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | STATE LICENSE | LCSW-31214 | 01 |
| OR | STATE LICENSE | 6409 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144492216 | Sheryl Lyn Ford | Naturopath | 6326 279th Ave Ne, North Branch, MN 55056-6312 | 2008-03-29 |
| Street Address |
3225 W BAVARIA ST STE 123 |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-5547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549662 | Andrea Browning | Social Worker | 2549 Salt Creek Road, Eagle, CO 81631 | 2020-08-18 |
| 1609347806 | Peak Counseling, LLC | Social Worker | 0171 Beecher Street, Eagle, CO 81631-8163 | 2018-12-16 |
| 1376087965 | James Sola | Social Worker | 563 W Bogus View Dr, Eagle, ID 83616-5871 | 2016-12-15 |
| 1588020788 | Dena Southerlan | Social Worker | 1143 Capitol Street Unit 206c, Eagle, CO 81631 | 2016-01-05 |
| 1033437025 | T.horn Enterprises, Inc | Social Worker | 407 Broadway, #2, Eagle, CO 81631-6042 | 2010-05-14 |
| 1679723282 | Jessica Shakespeare Neighbors | Social Worker | 815 S Bridge Way Pl, Ste: 118, Eagle, ID 83616-6006 | 2008-09-19 |
| 1124207329 | Julie Ann Austin | Social Worker | 961 E Thunderbird Ct, Eagle, ID 83616-4188 | 2007-10-24 |
| 1174711659 | Federica Lanza | Social Worker | 1243 E Iron Eagle Dr Ste 130d, Eagle, ID 83616-6599 | 2007-10-09 |
| 1548489735 | Saint Alphonsus Rehabilitation Services | Social Worker | 875 E Plaza Dr, #105, Eagle, ID 83616 | 2007-04-25 |
| 1740306695 | Trina Christeen Fisher-szeles | Social Worker | 1121 E State St, Ste 107, Eagle, ID 83616-6062 | 2007-03-22 |
| Find all providers in EAGLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.