Evisha Shavonn Ford

Clinical Social Worker · Tinley Park, IL

Individual Active NPI

NPI number 1720570401

Practice location

18501 Maple Creek Dr Ste 200
Tinley Park, IL 60477-6779
Phone
(708) 798-4200

Open in Google Maps

NPI record

NPI
1720570401
Entity type
Individual (Type 1)
Enumeration date
May 30, 2018
Last updated
February 25, 2026
Certified
February 25, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149011399 IL

Mailing address

2228 Macdonald Ln
Flossmoor, IL 60422-1340
Phone
(708) 307-0440

About Evisha Ford

Evisha Shavonn Ford is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 18501 Maple Creek Dr Ste 200, Tinley Park, IL 60477-6779. The NPI number 1720570401 was assigned on May 30, 2018 and the record was last updated on February 25, 2026.

Evisha Ford lists a license in the registry: #149011399 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Evisha Shavonn Ford?

The NPI number is 1720570401.

What is the phone number of Evisha Ford?

The phone number listed for the practice location is (708) 798-4200.

Where is Evisha Ford located?

18501 Maple Creek Dr Ste 200, Tinley Park, IL 60477-6779.

What is the taxonomy code for Evisha Ford?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Clinical Social Worker providers in Tinley Park

All Clinical Social Worker providers in Tinley Park, IL →