Individual provider Active NPI

Jeanne E Ferguson, LCSW

  • Social Worker
  • Okc, OK
National Provider Identifier
1124191580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1980 Issued in OK
Practice address
5015 N Pennsylvania
Suite 201
Okc, OK 73112
Phone
(405) 848-6565
Fax
(405) 848-4544
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1980 OK Primary

Addresses

Primary practice location

5015 N Pennsylvania
Suite 201
Okc, OK 73112

Mailing address

5015 N Pennsylvania
Suite 201
Okc, OK 73112
Phone (405) 848-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20060106000372 OK Practitioner - Clinical Social Worker 4183646706 Practice locations: Oklahoma City, OK

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4301 Classen Blvd
Suite B
Oklahoma City, OK 73118-5031

4301 N Classen Blvd
Suite B
Oklahoma City, OK 73118-5031
Phone (405) 848-6565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1980OKMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Varner Consultation LLC Past Accepting new patients
JF Therapy Services Past Accepting new patients
Smart-Schoell PastSince Oct 5, 2009 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124191580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 N PENNSYLVANIA",
            "address_2": "SUITE 201",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-848-6565",
            "fax_number": "405-848-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 N PENNSYLVANIA",
            "address_2": "SUITE 201",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-848-6565",
            "fax_number": "405-848-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JEANNE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "1980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okc, OK

Sources for this page

Verify at the official NPI Registry.