Healthcare Provider Details

I. General information

NPI: 1245142348
Provider Name (Legal Business Name): ALEXIS FERRY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 SANGERS LN
STAUNTON VA
24401-6712
US

IV. Provider business mailing address

85 SANGERS LN
STAUNTON VA
24401-6712
US

V. Phone/Fax

Practice location:
  • Phone: 540-213-7566
  • Fax: 540-887-3245
Mailing address:
  • Phone: 540-213-7566
  • Fax: 540-887-3245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904021041
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: