Provider Demographics
NPI:1942270202
Name:ROVNER-FERGUSON, HARRIETTE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HARRIETTE
Middle Name:
Last Name:ROVNER-FERGUSON
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 1:10 BRAEMER RD
Mailing Address - Street 2:
Mailing Address - City:SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3905
Mailing Address - Country:US
Mailing Address - Phone:631-979-2775
Mailing Address - Fax:631-689-7623
Practice Address - Street 1:10 BRAEMER RD
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733
Practice Address - Country:US
Practice Address - Phone:516-241-6059
Practice Address - Fax:631-689-7623
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR027434-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical