AYANA MARIE FORDHAM MA, LCSW
NPI 1326285156
Social Worker - Clinical in Apo, AP

Active since January 15, 2009PECOS EnrolledAccepts Medicare Assignment
374TH MEDICAL GROUP, UNIT 5071, APO, AP 96328(315) 225-6769 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 17, 2023, Apr 7, 2022, Jun 21, 2021 and 3 more (6 updates tracked since 2019).

About Ayana Marie Fordham Ma, Lcsw NPPES

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

AYANA MARIE FORDHAM MA, LCSW (NPI 1326285156) is an individual clinical provider in Apo, AP, licensed in Michigan (6801095972) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2013).

NPPES Registry Identity

NPI1326285156
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAYANA MARIE FORDHAMCredential: MA, LCSW
Location Address374TH MEDICAL GROUP, UNIT 5071Apo, AP 96328-5071
Mailing AddressUnit 5071Apo, AP 96328-5071 · (315) 225-6769
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2013
Enumeration DateJanuary 15, 2009
Last NPPES UpdateJuly 17, 20236 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1326285156 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 MI · 6801095972
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.
374TH MEDICAL GROUP, Apo, AP 96328

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ayana Marie Fordham Ma, 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 ID4385987213
PECOS Enrollment IDI20190516002373
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.

Medicare Billing Reassignment

Medicare enrollment records show Ayana Fordham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
2425 S LINDEN RD STE D138
Flint, MI 48532
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

Obstetrics & Gynecology
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
Dentist (Oral and Maxillofacial Surgery)
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
Family Medicine
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
Obstetrics & Gynecology
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
Preventive Medicine (Aerospace Medicine)
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
Optometrist
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
Nurse Practitioner (Psychiatric/Mental Health)
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
Psychologist (Clinical)
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328

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 Ayana Fordham's NPI number?

The NPI number for Ayana Fordham is 1326285156. It was assigned to this individual provider in the NPPES registry on January 15, 2009.

Where is Ayana Fordham located?

Ayana Fordham practices at 374th Medical Group Unit 5071, Apo, AP 96328. The listed phone number is (315) 225-6769.

What is Ayana Fordham's specialty?

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

Is Ayana Fordham enrolled in Medicare?

Yes. Ayana Fordham 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.

Which organization bills Medicare for Ayana Fordham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ayana Fordham reassigns Medicare benefits to Mkaddesh Enterprises LLC (Flint, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ayana Fordham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ayana Fordham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Ayana Fordham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ayana Fordham was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.