Dwight Ferguson in Grand Rapids - Clinical

Dwight Ferguson - NPI 1144249020

Dwight Ferguson is a Clinical in Grand Rapids, Michigan. Dwight Ferguson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dwight Ferguson is 1144249020. The last update date is 2010-03-17.

Dwight Ferguson's current location address is 3000 Monroe Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163645295 and fax number 6163653804. The mailing address for Dwight Ferguson is 3000 Monroe Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Dwight Ferguson
Address 3000 Monroe Ave Ne, Grand Rapids, Michigan
Phone Number 6163645295
Fax Number 6163653804
Sole Proprietor N
Credentials MSW

NPI Number Detail

NPI Number 1144249020
Provider Enumeration Date 2006-07-19
Last Updated Date 2010-03-17

Provider Mailing Address Detail

Address 3000 Monroe Ave Ne
City Grand Rapids
State Michigan (MI)
Post Code 495053397
Phone Number 6163645295
Fax Number 6163653804

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801034795
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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FAQs about Dwight Ferguson

What is the Dwight Ferguson's 1144249020?

The Dwight Ferguson's NPI (National Provider Identifier) Number is 1144249020. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Dwight Ferguson located?

The Dwight Ferguson is located at 3000 Monroe Ave Ne, Grand Rapids, MI 495053397.

What is the area of specialization for Dwight Ferguson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dwight Ferguson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1144249020 to Dwight Ferguson?

The Centers for Medicare & Medicaid Services assigned the 1144249020 to Dwight Ferguson on 2006-07-19.

As of what date was the information pertaining to Dwight Ferguson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dwight Ferguson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-03-17.

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