MEDICARE: MS. CHRISTINA BRONTE FERRI LCSW

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	C003458	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710927611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINA BRONTE FERRI LCSW

Provider Business Mailing Address
First Line	:	2401 SKYLARK CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-6749
Country	:	US
Telephone Number	:	704-236-9748
Fax Number	:	704-366-2286

Provider Business Practice Location Address
First Line	:	5113 PIPER STATION DR
Second Line	:	SUITE 207
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-6689
Country	:	US
Telephone Number	:	704-541-4242
Fax Number	:	704-541-4244

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	06/10/2008

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