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MRS. KELLY NICOLE FORD LCSW
NPI 1861753576
Social Worker - Clinical in Bedford, PA

Active since May 30, 2012PECOS Enrolled
5157 BUSINESS 220, BEDFORD, PA 15522(814) 623-2961 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Kelly Nicole Ford Lcsw NPPES

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

MRS. KELLY NICOLE FORD LCSW (NPI 1861753576) is an individual clinical provider in Bedford, Pennsylvania, licensed in Pennsylvania (CW017315) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1861753576
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KELLY NICOLE FORDCredential: LCSW
Location Address5157 BUSINESS 220Bedford, PA 15522
Mailing Address426 Phoenix DriveChambersburg, PA 17201-4537 · (717) 261-9833 · Fax (717) 261-9832
Phone(814) 623-2961
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 30, 2012
✔ NPI 1861753576 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 PA · CW017315
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.
5157 BUSINESS 220, Bedford, PA 15522
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Other Names 1

Former Name (1)Kelly Nicole Rydbom

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Nicole Ford Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517464175
PECOS Enrollment IDI20251009000438
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 15522 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 Kelly Ford's NPI number?

The NPI number for Kelly Ford is 1861753576. It was assigned to this individual provider in the NPPES registry on May 30, 2012. The provider is also known as Kelly Nicole Rydbom.

Where is Kelly Ford located?

Kelly Ford practices at 5157 Business 220, Bedford, PA 15522. The listed phone number is (814) 623-2961.

What is Kelly Ford's specialty?

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

Is Kelly Ford enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Ford was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.