Provider Demographics
NPI:1184815102
Name:FERRARO, JAMES SCOTT (MSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:SCOTT
Last Name:FERRARO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12527 CARROLL CREEK RUN
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46818-8780
Mailing Address - Country:US
Mailing Address - Phone:260-414-4713
Mailing Address - Fax:
Practice Address - Street 1:12527 CARROLL CREEK RUN
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46818-8780
Practice Address - Country:US
Practice Address - Phone:260-414-4713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker