Healthcare Provider Details

I. General information

NPI: 1912017112
Provider Name (Legal Business Name): LAURIE FERRARI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS LAURIE SHERIDAN

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5342 DUDLEY BLVD BLDG 98
MCCLELLAN CA
95652-1012
US

IV. Provider business mailing address

3161 DWIGHT RD
ELK GROVE CA
95758-6456
US

V. Phone/Fax

Practice location:
  • Phone: 916-561-7445
  • Fax:
Mailing address:
  • Phone: 916-427-7141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number24218
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: