Healthcare Provider Details

I. General information

NPI: 1891550059
Provider Name (Legal Business Name): OLIVIA A. FERRARA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SW 8TH ST
MIAMI FL
33130-3003
US

IV. Provider business mailing address

3541 GODWIN RD
JAY FL
32565-2768
US

V. Phone/Fax

Practice location:
  • Phone: 323-205-7088
  • Fax: 833-419-0181
Mailing address:
  • Phone: 928-940-0070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number21814
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW26537
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: