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General NPI Number Information
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NPI Number | 1124184296
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Entity Type | Individual
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Provider Name | KEVIN FRANCIS FERRY LCSW, LCADC
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Gender | Male
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Dates
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Enumeration Date | 12/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 167 LINDEN LN
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City | PRINCETON
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State | NJ
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Zip | 08540-3836
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Country | US
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Telephone | 212-645-2392
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Fax | 212-731-2134
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Provider Business Mailing Address
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Address Line | 167 LINDEN LN
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City | PRINCETON
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State | NJ
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Zip | 08540-3836
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Country | US
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Telephone | 212-645-2392
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Fax | 212-731-2134
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00022000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05012700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | RO54907-1
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License Number State | NY
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