Ms Terri R Ford-wolfgram, LCSW in Norfolk, NE - Counselor

Ms Terri R Ford-wolfgram, LCSW is a Counselor - Mental Health based in Norfolk, Nebraska. Ms Terri R Ford-wolfgram is licensed to practice in Nebraska (license number 3624) and her current practice location is 110 N 16th St Ste 16, Norfolk, Nebraska. She can be reached at her office (for appointments etc.) via phone at (402) 644-7314.

NPI number for Ms Terri R Ford-wolfgram is 1275738700 and her current mailing address is 110 N 16th St Ste 16, Norfolk, Nebraska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275738700.

Contact Information

	Ms Terri R Ford-wolfgram, LCSW
	110 N 16th St Ste 16, Norfolk, NE 68701-3671
	(402) 644-7314
	(402) 644-7315

Healthcare Provider's Profile

Full Name	Ms Terri R Ford-wolfgram
Gender	Female
Speciality	Counselor - Mental Health
Location	110 N 16th St Ste 16, Norfolk, Nebraska
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1275738700
Provider Enumeration Date: 06/15/2007
Last Update Date: 01/06/2011

Medical Identifiers

Medical identifiers for Ms Terri R Ford-wolfgram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275738700	NPI	-	NPPES
10025531200	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1341 (Nebraska)	Secondary
101YM0800X	Counselor - Mental Health	3624 (Nebraska)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Terri R Ford-wolfgram is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Terri R Ford-wolfgram, LCSW 110 N 16th St Ste 16, Norfolk, NE 68701-3671 Ph: (402) 644-7314	Ms Terri R Ford-wolfgram, LCSW 110 N 16th St Ste 16, Norfolk, NE 68701-3671 Ph: (402) 644-7314

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Ms Terri R Ford-wolfgram, LCSW - in Norfolk, NE