Provider Demographics
NPI:1134214638
Name:FERRO, MARIA J (MSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:J
Last Name:FERRO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9370 SW 72ND ST
Mailing Address - Street 2:SUITE A215
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5431
Mailing Address - Country:US
Mailing Address - Phone:305-595-8688
Mailing Address - Fax:866-711-0438
Practice Address - Street 1:9370 SW 72ND ST
Practice Address - Street 2:SUITE A215
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5431
Practice Address - Country:US
Practice Address - Phone:305-595-8688
Practice Address - Fax:866-711-0438
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW6501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ5329Medicare ID - Type Unspecified