Healthcare Provider Details

I. General information

NPI: 1942346531
Provider Name (Legal Business Name): MICHAEL C LAFERNEY CNS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 03/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 LEDGEWOOD PL SUITE 202
ROCKLAND MA
02370-1075
US

IV. Provider business mailing address

88 PICKENS ST
LAKEVILLE MA
02347-1902
US

V. Phone/Fax

Practice location:
  • Phone: 781-871-6550
  • Fax: 781-871-5973
Mailing address:
  • Phone: 508-946-1755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number149852
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code364SP0811X
TaxonomyChronically Ill Psychiatric/Mental Health Clinical Nurse Specialist
License Number14982
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number149852
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code364SP0812X
TaxonomyCommunity Psychiatric/Mental Health Clinical Nurse Specialist
License Number149852
License Number StateMA
# 5
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number149852
License Number StateMA
# 6
Primary TaxonomyN
Taxonomy Code364SP0813X
TaxonomyGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
License Number149852
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: