MR. KEVIN FRANCIS FERRY LCSW LCADC NPI 1124184296

NPI Information

NPI: 1124184296
Provider Name: MR. KEVIN FRANCIS FERRY, LCSW, LCADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
167 LINDEN LN
PRINCETON, NJ
ZIP 08540
Phone: (212) 645-2392
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MR. Kevin Francis Ferry, LCSW, LCADC is an addiction (substance use disorder) counselor in Princeton, NJ with 28 years of experience. MR. Kevin Francis Ferry, LCSW, LCADC NPI is 1124184296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

167 LINDEN LN
PRINCETON, NJ
ZIP 08540-836
Phone: (212) 645-2392
Fax: (212) 731-2134

The NPI 1124184296 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/30/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	37LC00022000	NEW JERSEY	Yes
2	1041C0700X	Social Worker	Clinical	44SC05012700	NEW JERSEY	X
3	1041C0700X	Social Worker	Clinical	RO54907-1	NEW YORK	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P20221365	OTHER	NEW JERSEY	OXFORD
2	02066159	MEDICAID	NEW YORK
3	N5J371	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MEDICARE PART B

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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