Provider Demographics
NPI:1770229064
Name:FERRARO, ALEXA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ALEXA
Middle Name:
Last Name:FERRARO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 N BEECH ST
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-2507
Mailing Address - Country:US
Mailing Address - Phone:516-232-3381
Mailing Address - Fax:
Practice Address - Street 1:272 N BEECH ST
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-2507
Practice Address - Country:US
Practice Address - Phone:516-232-3381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112194104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker