Linda F Ferguson, LICSW

Individual provider Active NPI Clinical Social Worker · Harvard, MA

NPI 1053403295 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1053403295
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
100344 (MA)
Practice address
20 Depot Road
Harvard, MA 01451-1315
Phone
(978) 456-7700
Fax
(979) 456-7700
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 100344 MA Yes

Addresses

Primary practice location

20 Depot Road
Harvard, MA 01451-1315

Mailing address

20 Depot Road
Harvard, MA 01451-1315
Phone (978) 456-7700

Other identifiers

IdentifierTypeStateIssuer
90012415901OtherPACIFICARE
412837OtherTUFTS
FEP01467OtherMABCBS

Other providers in Harvard, MA

All providers in Harvard, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.