Provider Demographics
NPI:1598296352
Name:FERRI, SHEREEN (LCSW)
Entity Type:Individual
Prefix:
First Name:SHEREEN
Middle Name:
Last Name:FERRI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHEREEN
Other - Middle Name:
Other - Last Name:FERRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 1478
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23927-1478
Mailing Address - Country:US
Mailing Address - Phone:434-572-6916
Mailing Address - Fax:434-374-3321
Practice Address - Street 1:523 MADISON STREET
Practice Address - Street 2:
Practice Address - City:BOYDTON
Practice Address - State:VA
Practice Address - Zip Code:23917
Practice Address - Country:US
Practice Address - Phone:434-738-0154
Practice Address - Fax:434-738-9545
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040097791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical