Healthcare Provider Details

I. General information

NPI: 1669130696
Provider Name (Legal Business Name): REBECCA DOROTHY FERRAIOLI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. REBECCA GABERT

II. Dates (important events)

Enumeration Date: 12/07/2021
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 MILTON GROVE RD
MOUNT JOY PA
17552-8639
US

IV. Provider business mailing address

334 MOUNTAIN RD
HALIFAX PA
17032-9531
US

V. Phone/Fax

Practice location:
  • Phone: 717-342-8400
  • Fax:
Mailing address:
  • Phone: 717-636-4467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCW024727
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: