Marissa Renee Ford, LICSW
NPI 1720423783ActiveIndividual· Social Worker, Clinical· Greenville, RI
Social Worker, Clinical (LICSW) with Child and Family Psychiatry, Inc., practicing in Greenville, Rhode Island. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1720423783 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | May 3, 2013 |
| Last updated in NPPES | Aug 29, 2024 |
| Certified by provider | Aug 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | ISW03654 | RI |
| Early Intervention Provider Agency | 252Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (RI) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Child and Family Psychiatry, Inc.South Kingstown, RI · 101 clinicians
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