MEDICARE: KEDLYNE FERRARI LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	27903	MD

General Provider Information

NPI Number	:	1326700568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEDLYNE FERRARI LCSW-C

Provider Business Mailing Address
First Line	:	7310 RITCHIE HWY STE 200
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-3129
Country	:	US
Telephone Number	:	908-986-6369
Fax Number	:

Provider Business Practice Location Address
First Line	:	8003 DEWBERRY LN APT 118
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-7142
Country	:	US
Telephone Number	:	443-295-3832
Fax Number	:	443-327-5083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2021
Last Update Date	:	02/13/2026

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