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NPI Code Detail

MEDICARE: ROSALIND S FORD LCSW

MEDICARE: ROSALIND S FORD LCSW
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
11041C0700XClinical Social Worker44SC05527500NJ

General Provider Information

NPI Number : 1619309044
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSALIND S FORD LCSW
Provider Business Mailing Address
First Line : 317 GEORGE STREET
Second Line : SUITE 203
City : NEW BRUNSWICK
State : NJ
Zip : 08901
Country : US
Telephone Number : 732-771-4383
Fax Number : 732-246-4137
Provider Business Practice Location Address
First Line : 1544 KUSER RD STE C9
Second Line :
City : HAMILTON
State : NJ
Zip : 08619-3830
Country : US
Telephone Number : 609-484-0106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2013
Last Update Date : 04/17/2023

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Directions to “ ROSALIND S FORD LCSW” Practice Location

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