Katelyn R Ferry, LLMSW

Individual provider Active NPI Clinical Social Worker · Chesaning, MI

NPI 1558055228 · NPPES record last updated Sep 25, 2024

Key facts

NPI
1558055228
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6851116412 (MI)
Practice address
15452 Stuart Rd
Chesaning, MI 48616-9486
Phone
(989) 244-1888
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6851116412MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Childrens Services Mid-Michigan FCSM Past
since Jun 1, 2023
Accepting new patients
Renewal Christian Counseling Inc Clinical Past
since Nov 1, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851116412 MI Yes

Addresses

Primary practice location

15452 Stuart Rd
Chesaning, MI 48616-9486

Mailing address

15452 Stuart Rd
Chesaning, MI 48616-9486

Other providers in Chesaning, MI

All providers in Chesaning, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.