Individual provider Active NPI

Anissa R Ferris, MSW, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1649486754
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002986 Issued in NC
Practice address
4801 Six Forks Rd
Raleigh, NC 27609-5205
Phone
(919) 676-7800
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C002986 NC Primary

Addresses

Primary practice location

4801 Six Forks Rd
Raleigh, NC 27609-5205

Mailing address

PO Box 97473
Raleigh, NC 27624-7473
Phone (919) 676-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C002986NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ferris Counseling & Consulting, PA Clinical CurrentSince May 1, 2008 Accepting new patients
Anissa R. Ferris, PLLC Clinical CurrentSince Jan 7, 2024 Accepting new patients

Locations

4801 Six Forks Rd
Raleigh, NC 27609
Phone (919) 676-7800

216 W Millbrook Rd
Raleigh, NC 27609
Phone (919) 583-6629

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1649486754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97473",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276247473",
            "telephone_number": "919-676-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095205",
            "telephone_number": "919-676-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "ANISSA",
        "middle_name": "R",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.