MEDICARE: SANDRA NICOLE FORD LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904010042	VA
2	1041C0700X	Clinical Social Worker	LC50081449	DC
3	1041C0700X	Clinical Social Worker	25681	MD
4	1041C0700X	Clinical Social Worker	CSW004885	GA

General Provider Information

NPI Number	:	1740695378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA NICOLE FORD LICSW

Provider Business Mailing Address
First Line	:	1638 R ST NW STE 310
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-6446
Country	:	US
Telephone Number	:	202-505-1850
Fax Number	:	202-888-0213

Provider Business Practice Location Address
First Line	:	1638 R ST NW STE 310
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-6446
Country	:	US
Telephone Number	:	202-505-1850
Fax Number	:	202-888-0213

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2014
Last Update Date	:	10/09/2024

Similar Medicare Providers

1548520612 — ALPHA CARE PHARMACY INC
Practice Location Address:

1638 R ST NW STE 1
WASHINGTON, DC
20009-6446

Practice Phone: 202-265-7979
Practice Fax: 202-265-0589

1477587004 — ALPHA DRUGS LLC
Practice Location Address:

1638 R ST NW STE 1
WASHINGTON, DC
20009-6446

Practice Phone: 202-265-7979
Practice Fax: 202-265-0588

1972734572 — ALPHA DRUGS LLC
Practice Location Address:

1638 R ST NW STE 1
WASHINGTON, DC
20009-6446

Practice Phone: 202-265-7979
Practice Fax: 202-265-0588

1811433378 — ALPHA CARE PHARMACY INC
Practice Location Address:

1638 R ST NW , SUITE 1
WASHINGTON, DC
20009-6446

Practice Phone: 202-265-7979
Practice Fax: 202-265-0588

1326510736 — MR. ZACHARY JAMES PYNE LPC
Practice Location Address:

1638 R ST NW STE 310
WASHINGTON, DC
20009-6446

Practice Phone: 443-281-9536
Practice Fax:

1245793421 — MARCEL E HARRIS
Practice Location Address:

1638 R ST NW STE 311
WASHINGTON, DC
20009-6446

Practice Phone: 202-746-5838
Practice Fax:

Directions to “ SANDRA NICOLE FORD LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.