Provider Demographics
NPI:1992841316
Name:FERRARI, LILLIAN SHIRLEY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LILLIAN
Middle Name:SHIRLEY
Last Name:FERRARI
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 1:355 FIRST STREET
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302
Mailing Address - Country:US
Mailing Address - Phone:201-656-1394
Mailing Address - Fax:201-656-1394
Practice Address - Street 1:156 5TH AVENUE
Practice Address - Street 2:SUITE 517
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:917-434-5286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0725061104100000X
NJ44SC05230200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker