Joe Francis Ferguson Jr., LCSW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

149016415 Issued in IL

Practice address

820 S Damen Ave
Jesse Brown Social Work
Chicago, IL 60612

Phone

(312) 569-8005

NPI assigned

Mar 9, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1083007496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S DAMEN AVE",
            "address_2": "JESSE BROWN SOCIAL WORK",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-569-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S DAMEN AVE",
            "address_2": "JESSE BROWN SOCIAL WORK",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-569-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 N Halsted St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606612101",
            "country_code": "US",
            "telephone_number": "773-203-9763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JOE",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "IL",
            "license": "149016415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083007496",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corinne Ferguson, LCSW
• Derrick Javon Ferguson
• Dorrie Ferguson, PSY.D.
• Erika Denise Ferguson, MD
• Janet Ferguson, C.N.M.
• Krista Ferguson, PT
• Laurin M Ferguson, FNP-BC
• Lee Ann Ferguson, OTR / L
• Lindsay J Ferguson
• Mark Ferguson

• Community Health Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Community Health Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.