Provider Demographics
NPI:1487179099
Name:FERO, REBECCA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:FERO
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9908 DURANGO DR
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-2365
Mailing Address - Country:US
Mailing Address - Phone:410-963-5951
Mailing Address - Fax:301-933-5763
Practice Address - Street 1:9908 DURANGO DR
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-2365
Practice Address - Country:US
Practice Address - Phone:410-963-5951
Practice Address - Fax:301-933-5763
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD120201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty