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MR. TYRONE D FORD LCSW
NPI 1255009882
Social Worker - Clinical in Fairview Heights, IL

Active since August 30, 2021
10850 LINCOLN TRL # 20-1861, FAIRVIEW HEIGHTS, IL 62208(314) 718-4503(618) 416-2708 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2024, Mar 8, 2024 (2 updates tracked since 2024).

About Mr. Tyrone D Ford Lcsw NPPES

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

MR. TYRONE D FORD LCSW (NPI 1255009882) is an individual clinical provider in Fairview Heights, Illinois, licensed in Illinois (149.018180) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1255009882
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TYRONE D FORDCredential: LCSW
Location Address10850 LINCOLN TRL # 20-1861Fairview Heights, IL 62208-0339
Mailing Address10850 Lincoln Trl # 20-1861Fairview Heights, IL 62208-0339 · (314) 718-4503 · Fax (618) 416-2708
Phone(314) 718-4503
Fax(618) 416-2708
Sole ProprietorYes
Enumeration DateAugust 30, 2021
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1255009882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IL · 149.018180✔ Licensed in MO · 2016002322
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.
10850 LINCOLN TRL # 20-1861, Fairview Heights, IL 62208
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

THE FORD CONSULTING & DESIGN GROUP, LLC
Clinic/Center (Adult Mental Health)
10850 LINCOLN TRL # 20-1861
FAIRVIEW HEIGHTS, IL 62208
St. Clair County (314) 718-4503

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 Tyrone Ford's NPI number?

The NPI number for Tyrone Ford is 1255009882. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Tyrone Ford located?

Tyrone Ford practices at 10850 Lincoln Trl # 20-1861, Fairview Heights, IL 62208. The listed phone number is (314) 718-4503.

What is Tyrone Ford's specialty?

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

When was this NPI record last updated?

The NPPES record for Tyrone Ford was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.