Individual provider Active NPI

Mollie Sue Ferguson, LMSW

  • Clinical Social Worker
  • Bay City, MI
National Provider Identifier
1053701318
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097571 Issued in MI
Practice address
690 S Trumbull
Bay City, MI 48708-7692
Phone
(989) 922-4900
Fax
(989) 922-4911
NPI assigned
Jan 26, 2015
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801097571 MI Primary

Addresses

Primary practice location

690 S Trumbull
Bay City, MI 48708-7692

Mailing address

690 S Trumbull
Bay City, MI 48708-7692
Phone (989) 922-4900

Other identifiers 1

IdentifierTypeStateIssuer
6801097571OtherMISTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150226000322 MI Practitioner - Clinical Social Worker 8325364953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Service of Saginaw CountyGroup PAC ID 3173627833, 10 clinicians

Practice addresses (Care Compare)

2838 Automotive Ctr
Saginaw, MI 48603-1220
Phone (989) 790-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Service of Saginaw County CurrentSince May 8, 2022 Accepting new patients
Healthsource Saginaw Inc CurrentSince Jan 27, 2017 Accepting new patients
Child and Family Service of Saginaw County Clinical CurrentSince Jul 15, 2021 Accepting new patients

Locations

2838 Automotive Ctr
Saginaw, MI 48603
Phone (989) 393-4242

3340 Hospital Rd
Saginaw, MI 48603
Phone (989) 790-7700

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/saginaw-e4d72067

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1053701318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S TRUMBULL",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087692",
            "telephone_number": "989-922-4900",
            "fax_number": "989-922-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S TRUMBULL",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087692",
            "telephone_number": "989-922-4900",
            "fax_number": "989-922-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "MOLLIE",
        "middle_name": "SUE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6801097571",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.