Active NPI
Sara Ferguson, LMSW
- Clinical Social Worker
- Lewisville, TX
National Provider Identifier
1174072136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62887
- Practice address
- 806 Hebron Pkwy
1102
Lewisville, TX 75057-5003 - Phone
- (972) 878-8527
- NPI assigned
- Sep 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 62887 | TX | Primary |
| Social Worker | 104100000X | 62887 | TX |
Addresses
Primary practice location
806 Hebron Pkwy
1102
Lewisville, TX 75057-5003
Mailing address
902 Dumont Dr
Richardson, TX 75080-6947
Phone (281) 799-8760
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62887 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1174072136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 DUMONT DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750806947",
"telephone_number": "281-799-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 HEBRON PKWY",
"address_2": "1102",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750575003",
"telephone_number": "972-878-8527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "SARA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-30",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "62887",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "62887",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.