Healthcare Provider Details

I. General information

NPI: 1063787794
Provider Name (Legal Business Name): CHRISTINE FERRER MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE MCGOVERN

II. Dates (important events)

Enumeration Date: 03/13/2012
Last Update Date: 03/14/2021
Certification Date: 03/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 PROSPECT ST
NASHUA NH
03060-3921
US

IV. Provider business mailing address

7 PROSPECT ST
NASHUA NH
03060-3921
US

V. Phone/Fax

Practice location:
  • Phone: 603-889-6147
  • Fax: 603-883-1568
Mailing address:
  • Phone: 603-889-6147
  • Fax: 603-883-1568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2440
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: