Active NPI
Sara Ferrell, LCSW
- Clinical Social Worker
- Coos Bay, OR
National Provider Identifier
1710527726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L11024
- Practice address
- 1750 Thompson Rd
Coos Bay, OR 97420-2195 - Phone
- (541) 269-0333
- Fax
- (541) 269-7389
- NPI assigned
- Jan 8, 2020
- Last updated
- Oct 21, 2024
- 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 | L11024 | OR | Primary |
Addresses
Primary practice location
1750 Thompson Rd
Coos Bay, OR 97420-2195
Mailing address
1750 Thompson Rd
Coos Bay, OR 97420-2195
Phone (541) 269-0333
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 |
|---|---|---|---|
| L11024 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1710527726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 THOMPSON RD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202195",
"telephone_number": "541-269-0333",
"fax_number": "541-269-7389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 THOMPSON RD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202195",
"telephone_number": "541-269-0333",
"fax_number": "541-269-7389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRELL",
"first_name": "SARA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L11024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.