Courtney Ford, LICSW
Social Worker, Clinical in Lynn, MA. Individual provider (NPI-1).
NPI number1982148102
StatusActive
Last updated in NPPESApr 22, 2019
Details
- NPI
- 1982148102
- Entity type
- Individual (NPI-1)
- Name
- Courtney Ford
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2016
- Last updated
- Apr 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 121931 | MA | Yes |
| 1041C0700X | Social Worker, Clinical | 220147 | MA |
Practice location
8 Silsbee StLynn, MA 01901-1404
Phone 781-599-0110
Mailing address
28 Summit AveLynn, MA 01902-1316
Phone 781-599-0110
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