Active NPI
Patsy Ann Ferrell, LCSW
- Clinical Social Worker
- Hilo, HI
National Provider Identifier
1518119460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-10657
- Practice address
- 126 Puuhonu Way Ste 2
Hilo, HI 96720-2067 - Phone
- (808) 969-3833
- NPI assigned
- Oct 22, 2008
- Last updated
- Oct 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-10657 | AZ | Primary |
Addresses
Primary practice location
126 Puuhonu Way Ste 2
Hilo, HI 96720-2067
Mailing address
2604 El Camino Real Ste B
174
Carlsbad, CA 92008-1205
Phone (602) 214-2783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-10657 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1518119460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 EL CAMINO REAL STE B",
"address_2": "174",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081205",
"telephone_number": "602-214-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 PUUHONU WAY STE 2",
"city": "HILO",
"state": "HI",
"postal_code": "967202067",
"telephone_number": "808-969-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRELL",
"first_name": "PATSY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-10657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.