Provider Demographics
NPI:1760516140
Name:FORD, LUCY K (LCSW)
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:K
Last Name:FORD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2524
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93002-2524
Mailing Address - Country:US
Mailing Address - Phone:805-988-1031
Mailing Address - Fax:805-988-8441
Practice Address - Street 1:260 MAPLE CT STE 216
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3565
Practice Address - Country:US
Practice Address - Phone:805-988-1031
Practice Address - Fax:805-988-8441
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS175281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical