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

Camille Ford

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619346632

Camille Ford is a Clinical Social Worker in Grand Haven, Michigan. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2015
Specialties on file
2

Practice location Address checks out

12511 152nd Ave
Grand Haven, MI 49417
Phone: (616) 844-0906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 187 W Schrock Rd, Westerville, OH 43081-2890 — (614) 355-7500

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1619346632
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2015
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing address12511 152nd Ave, Grand Haven, MI 49417

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated