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

Dr. Evisha Shavonn Ford

Individual provider Clinical Social Worker · NPI 1720570401

Dr. Evisha Shavonn Ford is a Clinical Social Worker in Tinley Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018

Practice location Address checks out

18501 Maple Creek Dr Ste 200
Tinley Park, IL 60477-6779
Phone: (708) 798-4200
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149011399 (IL)

Record details

NPI number1720570401
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 30, 2018
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address2228 Macdonald Ln, Flossmoor, IL 60422-1340

Other providers in Tinley Park