John Dwight Ferguson in Spring Lake Park - Clinical
John Dwight Ferguson - NPI 1588744304
John Dwight Ferguson is a Clinical in Spring Lake Park, Minnesota. John Dwight Ferguson practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Dwight Ferguson is 1588744304. The last update date is 2007-07-08.
John Dwight Ferguson's current location address is 1340 81st Ave Ne, Spring Lake Park, Minnesota. You can contact this provider via phone number 7637834528 and fax number 7637869729. The mailing address for John Dwight Ferguson is 1340 81st Ave Ne, Spring Lake Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Dwight Ferguson |
|---|---|
| Address | 1340 81st Ave Ne, Spring Lake Park, Minnesota |
| Phone Number | 7637834528 |
| Fax Number | 7637869729 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1588744304 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1340 81st Ave Ne |
|---|---|
| City | Spring Lake Park |
| State | Minnesota (MN) |
| Post Code | 554322116 |
| Phone Number | 7637834528 |
| Fax Number | 7637869729 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 10199 |
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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 10-digit identification code issued to John Dwight Ferguson by the Centers for Medicare & Medicaid Services?
The John Dwight Ferguson has been assigned the NPI (National Provider Identifier) 1588744304 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where John Dwight Ferguson's facilities are geographically located?
The facilities of John Dwight Ferguson are physically situated at the following location: 1340 81St Ave Ne, Spring Lake Park, MN, 554322116.
What is John Dwight Ferguson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Dwight Ferguson is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did John Dwight Ferguson receive its 1588744304 assignment from the Centers for Medicare & Medicaid Services?
The John Dwight Ferguson was assigned its 1588744304 on 2006-10-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John Dwight Ferguson most recently updated or revised?
The details related to John Dwight Ferguson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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