MEDICARE: LAURA FERRELL 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

General Provider Information

NPI Number	:	1891470712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA FERRELL LSW

Provider Business Mailing Address
First Line	:	732 BECKMAN ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45410-2165
Country	:	US
Telephone Number	:	937-253-1680
Fax Number	:

Provider Business Practice Location Address
First Line	:	732 BECKMAN ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45410-2165
Country	:	US
Telephone Number	:	937-253-1680
Fax Number	:	937-813-7769

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

Provider Enumeration Date	:	06/19/2023
Last Update Date	:	05/08/2026

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