Provider Demographics
NPI:1457458242
Name:FERREIRO, HERENIA (LCSW)
Entity Type:Individual
Prefix:
First Name:HERENIA
Middle Name:
Last Name:FERREIRO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 W SAMPLE RD.
Mailing Address - Street 2:UNIT 48
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4690
Mailing Address - Country:US
Mailing Address - Phone:305-431-2281
Mailing Address - Fax:
Practice Address - Street 1:7301 N UNIVERSITY DR STE 209
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2935
Practice Address - Country:US
Practice Address - Phone:954-242-8507
Practice Address - Fax:954-944-0819
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW51841041C0700X
FLSW 51841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020016800Medicaid