MS. TERRI R FORD-WOLFGRAM LCSW NPI 1275738700

NPI Information

NPI: 1275738700
Provider Name: MS. TERRI R FORD-WOLFGRAM, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
110 N 16TH ST STE 16
NORFOLK, NE
ZIP 68701
Phone: (402) 644-7314
Get Directions

MS. Terri R Ford-wolfgram, LCSW is a mental health counselor in Norfolk, NE. MS. Terri R Ford-wolfgram, LCSW NPI is 1275738700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

110 N 16TH ST STE 16
NORFOLK, NE
ZIP 68701-671
Phone: (402) 644-7314
Fax: (402) 644-7315

The NPI 1275738700 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/15/2007 and was last updated on 1/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	1341	NEBRASKA	No
2	101YM0800X	Counselor	Mental Health	3624	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10025531200	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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