Shannon Marie Ferriter
Counselor in Rockford, IL. Individual provider (NPI-1).
NPI number1417435652
StatusActive
Last updated in NPPESJul 31, 2018
Details
- NPI
- 1417435652
- Entity type
- Individual (NPI-1)
- Name
- Shannon Marie Ferriter
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2018
- Last updated
- Jul 31, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
8616 Northern AveRockford, IL 61107-5309
Phone 815-332-8003
Mailing address
1021 N Mulford RdRockford, IL 61107-3877
Phone 815-387-5600
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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