Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ayana Marie Fordham, MA, LCSW

Individual provider Clinical Social Worker · NPI 1326285156

Ayana Marie Fordham, MA, LCSW is a Clinical Social Worker in APO, Armed Forces Pacific. Graduated from Wayne State University School of Medicine in 2013, 13 years ago. Practices with Mkaddesh Enterprises LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2009
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

374TH Medical Group Unit 5071
APO, AP 96328-5071
Phone: (315) 225-6769

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Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801095972 (MI)

Record details

NPI number1326285156
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LCSW
Sole proprietorYes
NPI enumeratedJanuary 15, 2009
Last updated in NPPESJuly 17, 2023
Certification dateJuly 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Mkaddesh Enterprises Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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