Individual
MS. CHRISTA M FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9560 E 59TH ST, INDIANAPOLIS, IN 46216-1010
(317) 621-5719
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.013278
IL
1041C0700X
Clinical Social Worker
Primary
34005959A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000846926
ANTHEM BCBS
IN
Enumeration date
02/15/2010
Last updated
06/15/2023
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