Provider Demographics
NPI:1588967780
Name:FERRER, CAROLINA (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:CAROLINA
Middle Name:
Last Name:FERRER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12802 VISTA PINE CIR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-7976
Mailing Address - Country:US
Mailing Address - Phone:239-645-3866
Mailing Address - Fax:
Practice Address - Street 1:11920 FAIRWAY LAKES DR STE 2
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-8368
Practice Address - Country:US
Practice Address - Phone:239-645-3866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-09
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW63811041C0700X
FLSW122981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical