Healthcare Provider Details

I. General information

NPI: 1326700568
Provider Name (Legal Business Name): KEDLYNE FERRARI LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7310 RITCHIE HWY STE 200
GLEN BURNIE MD
21061-3129
US

IV. Provider business mailing address

7310 RITCHIE HWY STE 200
GLEN BURNIE MD
21061-3129
US

V. Phone/Fax

Practice location:
  • Phone: 443-295-3832
  • Fax:
Mailing address:
  • Phone: 908-986-6369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number27903
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: