MEDICARE: FERRIN ROY CSW

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1073013470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERRIN ROY CSW

Provider Business Mailing Address
First Line	:	8952 DALWOOD DR
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-6752
Country	:	US
Telephone Number	:	225-229-5538
Fax Number	:

Provider Business Practice Location Address
First Line	:	3029 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-2276
Country	:	US
Telephone Number	:	225-275-3039
Fax Number	:

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

Provider Enumeration Date	:	02/13/2018
Last Update Date	:	01/21/2024

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