Provider Demographics
NPI:1780815068
Name:FERRICK, MARGAREWT CRISAFULLI (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:MARGAREWT
Middle Name:CRISAFULLI
Last Name:FERRICK
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BRIAN DR
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3201
Mailing Address - Country:US
Mailing Address - Phone:978-392-9445
Mailing Address - Fax:
Practice Address - Street 1:63 PARK STREET, 3RD FLOOR
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3662
Practice Address - Country:US
Practice Address - Phone:978-361-5843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1100351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical