Individual provider Active NPI

Shaina Ferguson, MS, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1124594429
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
114508 Issued in NY
Practice address
3009 Broadway
New York, NY 10027-6909
Phone
(212) 854-2092
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 114508 NY Primary

Addresses

Primary practice location

3009 Broadway
New York, NY 10027-6909

Mailing address

PO Box 220062
Brooklyn, NY 11222-0062
Phone (929) 306-6928

Other practice location 1

515 Madison Ave
New York, NY 10022-5403
Phone (929) 306-6928

Other practice location 2

204 E 35th St
New York, NY 10016-4202
Phone (646) 964-5913

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1124594429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220062",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112220062",
            "telephone_number": "929-306-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276909",
            "telephone_number": "212-854-2092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100225403",
            "country_code": "US",
            "telephone_number": "929-306-6928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 E 35th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100164202",
            "country_code": "US",
            "telephone_number": "646-964-5913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "SHAINA",
        "credential": "MS, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "114508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.