Marissa Renee Ford, LICSW

Individual provider Early Intervention Provider Agency · NPI 1720423783

Marissa Renee Ford, LICSW is a Clinical Social Worker in Greenville, Rhode Island. Qualified in 2013, 13 years ago. Practices with Child and Family Psychiatry, Inc, a 86-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying: 13
Licensed in: RI
In the registry since: 2013
Specialties on file: 2

What do these letters mean?

LICSW — Licensed Independent Clinical Social Worker: The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

7 Austin Ave
Greenville, RI 02828-1520
Phone: (401) 349-3131

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

Additional practice locations (3)

989 Reservoir Ave Ste 101, Cranston, RI 02910-5138 — (401) 572-3313
1 Richmond Sq Ste 300e, Providence, RI 02906-5160 — (401) 349-3131
501 Wampanoag Trl Unit 400, Riverside, RI 02915-1507 — (401) 785-0040

Specialties & licences

Clinical Social Worker (primary)	Taxonomy 1041C0700X · Licence ISW03654 (RI)
Early Intervention Provider Agency	Taxonomy 252Y00000X

Record details

NPI number	1720423783
Entity type	Individual (Type 1)
Gender	Female
Credentials	LICSW
Sole proprietor	Yes
NPI enumerated	May 3, 2013
Last updated in NPPES	August 29, 2024
Certification date	August 29, 2024

Medicare enrollment

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

Medicare specialty	CLINICAL SOCIAL WORKER
Medical school	OTHER
Graduated	2013 (13 years in practice)
Group practice	Child And Family Psychiatry, Inc. — 86 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount