Provider Demographics
NPI:1316034374
Name:FERRY, RICHARD (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:FERRY
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 HAVERFORD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1139
Mailing Address - Country:US
Mailing Address - Phone:610-716-0823
Mailing Address - Fax:610-525-2552
Practice Address - Street 1:600 HAVERFORD RD STE 200
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1139
Practice Address - Country:US
Practice Address - Phone:610-716-0823
Practice Address - Fax:610-525-2552
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW01851L1041C0700X
PACW0166211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical