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DEJAH FORD
NPI 1417597576
Social Worker - Clinical in Middletown, CT

Active since January 07, 2020PECOS Enrolled
210 S MAIN ST STE 300A, MIDDLETOWN, CT 06457(860) 712-6791 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2025, Jan 7, 2020 (2 updates tracked since 2020).

About Dejah Ford NPPES

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

DEJAH FORD (NPI 1417597576) is an individual clinical provider in Middletown, Connecticut, licensed in Connecticut (14204) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417597576
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEJAH FORD
Location Address210 S MAIN ST STE 300AMiddletown, CT 06457-3764
Mailing Address12 Balaban Rd Apt 507Colchester, CT 06415-1793
Phone(860) 712-6791
Sole ProprietorYes
Enumeration DateJanuary 7, 2020
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1417597576 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 CT · 14204
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.
210 S MAIN ST STE 300A, Middletown, CT 06457
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dejah Ford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06457 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 Dejah Ford's NPI number?

The NPI number for Dejah Ford is 1417597576. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Dejah Ford located?

Dejah Ford practices at 210 S Main St Ste 300A, Middletown, CT 06457. The listed phone number is (860) 712-6791.

What is Dejah Ford's specialty?

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

Is Dejah Ford enrolled in Medicare?

Yes. Dejah Ford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dejah Ford was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.