Mardene Ferguson is a Clinical in Meridian, Idaho. Mardene Ferguson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mardene Ferguson is 1215019294. The last update date is 2007-07-08.
Mardene Ferguson's current location address is 1837 E Cougar Creek Dr, Meridian, Idaho. You can contact this provider via phone number 2088876809. The mailing address for Mardene Ferguson is 1837 E Cougar Creek Dr, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mardene Ferguson |
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Address | 1837 E Cougar Creek Dr, Meridian, Idaho |
Phone Number | 2088876809 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1215019294 |
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Provider Enumeration Date | 2006-10-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1837 E Cougar Creek Dr |
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City | Meridian |
State | Idaho (ID) |
Post Code | 836467343 |
Phone Number | 2088876809 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCSW-1071 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique provider identifier assigned to Mardene Ferguson?
The Mardene Ferguson has been issued the NPI (National Provider Identifier) 1215019294 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Mardene Ferguson is geographically located?
The Mardene Ferguson is physically situated at the following location: 1837 E Cougar Creek Dr, Meridian, ID, 836467343.
What is Mardene Ferguson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mardene Ferguson is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215019294 to Mardene Ferguson?
The Centers for Medicare & Medicaid Services assigned the 1215019294 to Mardene Ferguson on 2006-10-19.
As of what date were the details related to Mardene Ferguson most recently updated or revised?
The information pertaining to Mardene Ferguson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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