Provider Demographics
NPI:1992369441
Name:FERRAIUOLO, DOLLY (LCSW)
Entity Type:Individual
Prefix:
First Name:DOLLY
Middle Name:
Last Name:FERRAIUOLO
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 1:140 MEADOWLARK DR
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-2020
Mailing Address - Country:US
Mailing Address - Phone:727-755-3018
Mailing Address - Fax:727-376-3652
Practice Address - Street 1:4800 ROWAN RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-5609
Practice Address - Country:US
Practice Address - Phone:727-483-5912
Practice Address - Fax:727-376-3652
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-30
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW17572101YM0800X, 1041C0700X
FLISW12690101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health