Provider Demographics
NPI:1275787830
Name:FERRARO, NINA MICHELLE (LPC)
Entity type:Individual
Prefix:MS
First Name:NINA
Middle Name:MICHELLE
Last Name:FERRARO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:NINA
Other - Middle Name:MICHELLE
Other - Last Name:SCHANCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:136 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1842
Mailing Address - Country:US
Mailing Address - Phone:814-453-7661
Mailing Address - Fax:814-453-2307
Practice Address - Street 1:136 EAST AVE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1842
Practice Address - Country:US
Practice Address - Phone:814-453-7661
Practice Address - Fax:814-453-2307
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004374101Y00000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker