Provider Demographics
NPI:1992112890
Name:FERRERO, BELINDA (LCSW)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:FERRERO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4595 TOWNE LAKE PKWY
Mailing Address - Street 2:BUILDING 300 SUITE 250
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-5514
Mailing Address - Country:US
Mailing Address - Phone:678-592-5779
Mailing Address - Fax:423-822-5729
Practice Address - Street 1:4595 TOWNE LAKE PKWY
Practice Address - Street 2:BUILDING 300 SUITE 250
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-5514
Practice Address - Country:US
Practice Address - Phone:678-592-5779
Practice Address - Fax:423-822-5729
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-13
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW005787101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical