MS. CHRISTA M FORD


Address: 9560 E 59th St, Indianapolis, IN 46216-1010
Phone: 3176215719

MS. CHRISTA M FORD (NPI# 1649592882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649592882
Entity Type Individual
Full Name MS. CHRISTA M FORD
Other Name CHRISTA CLAIRDAY
Credential LCSW
Practice Address 9560 E 59th St
Indianapolis
IN 46216-1010
Mailing Address 6626 E 75th Street
Suite 500
Indianapolis
IN 46250-2890
Practice Telephone 3176215719
Enumeration Date 2010-02-15
Last Update Date 2020-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
34005959A IN Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
149.013278 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM BCBS 000000846926 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2040 N Shadeland Ave, Indianapolis, IN 462191734 3173551800 3173551803

Office Location

Street Address 9560 E 59TH ST
City INDIANAPOLIS
State IN
Zip Code 46216-1010

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821076530 Barbara J Walling Nurse Practitioner 9560 E 59th St, Indianapolis, IN 46216-1010 2006-01-03
1144677253 Michael Burke Social Worker 9560 E 59th St, Indianapolis, IN 46216-1010 2016-05-18
1124315924 Danielle Marie Watkins Family Medicine 9560 E 59th St, Indianapolis, IN 46216-1010 2011-06-30
1225328503 Anthony Christopher Arata Family Medicine 9560 E 59th St, Indianapolis, IN 46216-1010 2011-04-07
1710185756 Stephanie Rutallie Registered Nurse 9560 E 59th St, Indianapolis, IN 46216-1010 2007-07-10
1679598171 Community Hospitals of Indiana Inc Family Medicine 9560 E 59th St, Indianapolis, IN 46216-1010 2006-07-13
1992770978 Vinod A Pallekonda Family Medicine 9560 E 59th St, Indianapolis, IN 46216-1010 2006-02-22
1356315014 Mary Lou Hulseman Family Medicine 9560 E 59th St, Indianapolis, IN 46216-1010 2006-02-17
1790758589 Charles M Platz Family Medicine 9560 E 59th St, Indianapolis, IN 46216-1010 2006-02-10
1003888959 Robert Kiess Newton Family Medicine 9560 E 59th St, Indianapolis, IN 46216-1010 2006-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801435292 Wickshire Fort Harrison Opco LLC Assisted Living Facility 8025 Doubleday Drive, Indianapolis, IN 46216 2020-01-02
1851875546 Andrew David Power Dentist 5869 Lawton Loop East Drive, Indianapolis, IN 46216 2018-09-19
1366938417 Alidde Alouidor Social Worker 9801 E 59th St, Indianapolis, IN 46216 2018-07-02
1548779663 Fresenius Medical Care Indiana, LLC Clinic/Center 9140 Harrison Park Ct, Indianapolis, IN 46216 2017-09-20
1184835852 Toby A Zirkle Family Medicine 8205 E 56th St Ste 100, Indianapolis, IN 46216 2007-05-24
1922178995 Physiotherapy Associates Physical Therapist 5665 North Post Rd. Suite 100, Indianapolis, IN 46216 2006-11-08
1871562645 Richard Clark Perry Internal Medicine 8205 E 56th Street, Suite 100, Indianapolis, IN 46216 2006-03-15
1902420532 Carole Christine Corder Dietitian, Registered 8205 E 56th St, Suite 100, Indianapolis, IN 46216 2020-05-29
1821301300 Robin Girdhar Internal Medicine 8205 E 56th St, Ste 100, Indianapolis, IN 46216 2010-07-26
1306949086 Hook Superx LLC Durable Medical Equipment & Medical Supplies 5605 N Post Rd, Indianapolis, IN 46216-1002 2006-09-07
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942808886 Joan Marie Witt Social Worker 205 E Hickory Ln, Indianapolis, IN 46227-2447 2020-10-13
1821695008 Belinda Shelton Gamble Social Worker 9650 E Washington St Ste 245, Indianapolis, IN 46229-3032 2020-10-01
1225642234 Charlotte Cox Social Worker 124 N Oriental St, Indianapolis, IN 46202-3842 2020-09-07
1477167641 Laura Marie Lines Social Worker 9165 Otis Ave Ste 215, Indianapolis, IN 46216-2316 2020-09-03
1477167815 Cydaria Lashon Cooke Social Worker 7909 Preservation Dr, Indianapolis, IN 46278-9553 2020-09-02
1790396760 Restored Pieces LLC Social Worker 7210 Mars Dr, Indianapolis, IN 46241-3693 2020-08-13
1215546973 Tammy M Skinner Social Worker 1633 N Capitol Ave # Mt301, Indianapolis, IN 46202-1261 2020-07-29
1922626092 Heartland Healing Counseling Services Social Worker 2432 Conservatory Dr Fl 2, Indianapolis, IN 46203-3985 2020-07-06
1710504980 Salma Mohiuddin Social Worker 3418 Bodelva Ln, Indianapolis, IN 46228-2894 2020-07-02
1427673052 Sanders Empowerment Services LLC Social Worker 5026 Clarkson Drive, Indianapolis, IN 46254 2020-06-09
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Competitor

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City INDIANAPOLIS
Zip Code 46216

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Dataset Information

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.

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