Provider Demographics
NPI:1083909675
Name:FORD, LASONYA C (LMSW)
Entity Type:Individual
Prefix:
First Name:LASONYA
Middle Name:C
Last Name:FORD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 THIRD ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:AR
Mailing Address - Zip Code:72112-3302
Mailing Address - Country:US
Mailing Address - Phone:870-217-0444
Mailing Address - Fax:501-303-1652
Practice Address - Street 1:210 THIRD ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:AR
Practice Address - Zip Code:72112-3302
Practice Address - Country:US
Practice Address - Phone:870-217-0444
Practice Address - Fax:501-303-1652
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker