Provider Demographics
NPI:1922053826
Name:FERRELL, DEANNA B (NSW LCSWC)
Entity Type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:B
Last Name:FERRELL
Suffix:
Gender:F
Credentials:NSW LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4623 FALLS RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4914
Mailing Address - Country:US
Mailing Address - Phone:410-366-1980
Mailing Address - Fax:410-366-8530
Practice Address - Street 1:22 N COURT ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5110
Practice Address - Country:US
Practice Address - Phone:410-876-1233
Practice Address - Fax:410-876-4791
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07067104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
0003OtherFED BC
2219334OtherCOMPSYCH
MD264805-000OtherMAGELLAN HEALTH SERVICES
MD212720OtherJHHC
MD409225200Medicaid
330037OtherMANAGED HEALTH NETWORK
MD100028574OtherAPS HEALTHCARE
226411OtherKAISER
MD70775701OtherCAREFIRSTBC
MD409225200Medicaid
MD70775701OtherCAREFIRSTBC