MEDICARE: ALESHIA MONIQUE FERRELL MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0906016427	VA

General Provider Information

NPI Number	:	1063361798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALESHIA MONIQUE FERRELL MSW

Provider Business Mailing Address
First Line	:	80 CHARLES ST APT 7
Second Line	:
City	:	COLLINSVILLE
State	:	VA
Zip	:	24078-2497
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 E CHURCH ST STE 12
Second Line	:
City	:	MARTINSVILLE
State	:	VA
Zip	:	24112-3151
Country	:	US
Telephone Number	:	276-403-1843
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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