Provider Demographics
NPI:1518119460
Name:FERRELL, PATSY ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATSY
Middle Name:ANN
Last Name:FERRELL
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 1:2604 EL CAMINO REAL STE B
Mailing Address - Street 2:174
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1205
Mailing Address - Country:US
Mailing Address - Phone:602-214-2783
Mailing Address - Fax:
Practice Address - Street 1:126 PUUHONU WAY STE 2
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2067
Practice Address - Country:US
Practice Address - Phone:808-969-3833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-106571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical