Individual provider Active NPI

Kevin Francis Ferry, LCSW, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Princeton, NJ
National Provider Identifier
1124184296
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00022000 Issued in NJ
Practice address
167 Linden LN
Princeton, NJ 08540-3836
Phone
(212) 645-2392
Fax
(212) 731-2134
NPI assigned
Dec 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00022000 NJ Primary
Clinical Social Worker 1041C0700X 44SC05012700 NJ
Clinical Social Worker 1041C0700X RO54907-1 NY

Addresses

Primary practice location

167 Linden LN
Princeton, NJ 08540-3836

Mailing address

167 Linden LN
Princeton, NJ 08540-3836
Phone (212) 645-2392

Other identifiers 2

IdentifierTypeStateIssuer
02066159MedicaidNY
P20221365OtherNJOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026001132 NY Practitioner - Clinical Social Worker 1153514831 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50 Greenwich Ave
3B
New York, NY 10011-8354
Phone (609) 933-3186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00022000NJMDAddiction (Substance Use Disorder) Counselor
44SC05012700NJMDClinical Social Worker
RO54907-1NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124184296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 LINDEN LN",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403836",
            "telephone_number": "212-645-2392",
            "fax_number": "212-731-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 LINDEN LN",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403836",
            "telephone_number": "212-645-2392",
            "fax_number": "212-731-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRY",
        "first_name": "KEVIN",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00022000",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05012700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO54907-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02066159",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P20221365",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.