MEDICARE: ERICA FERRARO MSW, LSW

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	SW133173	PA

General Provider Information

NPI Number	:	1770036055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA FERRARO MSW, LSW

Provider Business Mailing Address
First Line	:	3604 W 12TH ST
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16505-3503
Country	:	US
Telephone Number	:	814-812-8420
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 W 21ST ST STE 27
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16506-2972
Country	:	US
Telephone Number	:	814-400-5007
Fax Number	:

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

Provider Enumeration Date	:	08/03/2016
Last Update Date	:	03/17/2018

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