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

Individual provider Clinical Social Worker · NPI 1255009882

Mr. Tyrone D Ford, LCSW is a Clinical Social Worker in Fairview Heights, Illinois. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

10850 Lincoln Trl # 20-1861
Fairview Heights, IL 62208-0339
Phone: (314) 718-4503
Fax: (618) 416-2708
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Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.018180 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2016002322 (MO)

Record details

NPI number1255009882
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 30, 2021
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

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