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NPI 1669130696

NPI 1669130696 : REBECCA DOROTHY FERRAIOLI LCSW : MOUNT JOY, PA

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General NPI Number Information
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    NPI Number           |    1669130696
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA DOROTHY FERRAIOLI LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/07/2021
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    Last Update Date     |    12/15/2025
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Provider Practice Location Address
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    Address Line         |    1502 MILTON GROVE RD 
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    City                 |    MOUNT JOY
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    State                |    PA
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    Zip                  |    17552-8639
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    Country              |    US
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    Telephone            |    717-342-8400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    334 MOUNTAIN RD 
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    City                 |    HALIFAX
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    State                |    PA
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    Zip                  |    17032-9531
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    Country              |    US
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    Telephone            |    717-636-4467
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    Fax                  |    
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    CW024727
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    License Number State |    PA
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