Breanna Carey Ferolla, MSW, LICSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

000224228 Issued in MA

Practice address

4 A St
Hopkinton, MA 01748-1216

Phone

(508) 686-1338

NPI assigned

Jan 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Breanna Carey Tillery Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• My Place Counseling LLC

  • Clinical Social Worker
  • Hopkinton, MA
  • NPI 1679280846
  NPD Authorized official

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1154743284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 A ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481216",
            "telephone_number": "508-686-1338",
            "fax_number": "508-205-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 A ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481216",
            "telephone_number": "508-686-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEROLLA",
        "first_name": "BREANNA",
        "middle_name": "CAREY",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2022-11-02",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123719",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "000224228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "TILLERY",
            "middle_name": "CAREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kesleigh Jayne Eysie, DMD
• Richard John Falzone, PH.D.
• Weikai Christopher Fang, MD
• FBTC Transitional Sub, LLC
• Jessica Fedorka, PA
• Martha Frances Fitzgerald, L.P.C.
• Nicolle Fitzpatrick, LMHC
• Stacey L Fiutem, LIC. AC.
• Joe Frazer
• Diana Mae Fyler, OTR/L

• Community/Behavioral Health Agency in Hopkinton, MA
• Providers in Hopkinton, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.