MEDICARE: MRS. MICHELLE NICOLE FERREL M.S.W. L.I.C.S.W

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	1041C0700X	Clinical Social Worker	20486	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386004968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE NICOLE FERREL M.S.W. L.I.C.S.W

Provider Business Mailing Address
First Line	:	11806 ABERDEEN ST. NE
Second Line	:	SUITE 220
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55449-1547
Country	:	US
Telephone Number	:	612-541-7106
Fax Number	:

Provider Business Practice Location Address
First Line	:	11806 ABERDEEN ST. NE
Second Line	:	SUITE 220
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55449-1547
Country	:	US
Telephone Number	:	612-541-7106
Fax Number	:

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

Provider Enumeration Date	:	02/25/2016
Last Update Date	:	02/26/2025

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