AMANDA CHRISTINE FORD LCSW
NPI 1063379477
Social Worker - Clinical in Dallas, TX

Active since January 07, 2026PECOS EnrolledAccepts Medicare Assignment
1015 N CARROLL AVE STE 104, DALLAS, TX 75204(469) 269-2488 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Christine Ford Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA CHRISTINE FORD LCSW (NPI 1063379477) is an individual clinical provider in Dallas, Texas, licensed in Texas (111528) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063379477
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA CHRISTINE FORDCredential: LCSW
Location Address1015 N CARROLL AVE STE 104Dallas, TX 75204-6607
Mailing Address4116 Rawlins St Apt 108Dallas, TX 75219-3992
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 7, 2026
NPPES CertifiedJanuary 7, 2026
NPI 1063379477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in TX · 111528
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1015 N CARROLL AVE STE 104, Dallas, TX 75204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Christine Ford Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395223622
PECOS Enrollment IDI20260128004586
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.18 – $172.86
Typical copayment $0.00 (range $14.29 – $43.21)
Most-billed visit code NA
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation (Sports Medicine)
1015 N CARROLL AVE STE 104
DALLAS, TX 75204
Pain Medicine (Interventional Pain Medicine)
1015 N CARROLL AVE STE 104
DALLAS, TX 75204
Physical Therapist
1015 N CARROLL AVE STE 104
DALLAS, TX 75204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Ford's NPI number?

The NPI number for Amanda Ford is 1063379477. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Where is Amanda Ford located?

Amanda Ford practices at 1015 N Carroll Ave Ste 104, Dallas, TX 75204. The listed phone number is (469) 269-2488.

What is Amanda Ford's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amanda Ford enrolled in Medicare?

Yes. Amanda Ford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Ford was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.