Provider Demographics
NPI:1124151311
Name:FERRARI, KATHERINE DANIELLE (PHD, LCSW, MSW)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:DANIELLE
Last Name:FERRARI
Suffix:
Gender:F
Credentials:PHD, LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 DAHL RD
Mailing Address - Street 2:
Mailing Address - City:CHAMPION
Mailing Address - State:PA
Mailing Address - Zip Code:15622-2077
Mailing Address - Country:US
Mailing Address - Phone:724-812-1101
Mailing Address - Fax:
Practice Address - Street 1:251 MELCROFT RD
Practice Address - Street 2:
Practice Address - City:MELCROFT
Practice Address - State:PA
Practice Address - Zip Code:15462-1017
Practice Address - Country:US
Practice Address - Phone:724-812-1101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0167751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA233493EPMMedicare UPIN