Individual
CORINNE B FEROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
61 BRADLEY ST, BRISTOL, CT 06010-5103
(860) 841-6238
(860) 584-2287
Mailing address
61 BRADLEY ST, BRISTOL, CT 06010-5103
(860) 841-6238
(860) 584-2287
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000241
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004224987
—
CT
01
—
140000241CT03
ANTHEM BCBS
CT
01
—
241651
HEALTHNET
CT
Enumeration date
12/28/2005
Last updated
12/17/2012
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