MS. AMANDA JEAN PERPICH FORD LCSW, LMSW, MSW MACJ - NPI 1720730971

Q: What is Amanda Ford's NPI number?

The NPI number for Amanda Ford is 1720730971. It was assigned to this individual provider in the NPPES registry on January 19, 2022. The provider is also known as Amanda Perpich Brown Lcsw, Lmsw, Msw Macj.

Q: What is Amanda Ford's specialty?

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

Q: Is Amanda Ford enrolled in Medicare?

No. Amanda Ford has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Amanda Ford was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Amanda Jean Perpich Ford Lcsw, Lmsw, Msw Macj NPPES

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

MS. AMANDA JEAN PERPICH FORD LCSW, LMSW, MSW MACJ (NPI 1720730971) is an individual clinical provider in Brentwood, Tennessee, licensed in Tennessee (8814) and active in the NPI registry since January 2022. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1720730971

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. AMANDA JEAN PERPICH FORDCredential: LCSW, LMSW, MSW MACJ

Location Address103 CONTINENTAL PL STE 204Brentwood, TN 37027-1042

Mailing Address103 Continental Pl Ste 204Brentwood, TN 37027-1042 · (602) 717-7316

Phone(602) 717-7316

Sole ProprietorYes

Enumeration DateJanuary 19, 2022

Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1720730971 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 TN · 8814✔ Licensed in ID · LCSW-43239✔ Licensed in OR · L11064

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.

103 CONTINENTAL PL STE 204, Brentwood, TN 37027

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Other Names 1

Professional Name (2)Amanda Perpich Brown Lcsw, Lmsw, Msw Macj

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Amanda Jean Perpich Ford Lcsw, Lmsw, Msw Macj has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

RUBY CONSULTING, LLC

Nurse Practitioner (Psychiatric/Mental Health)