Individual provider Active NPI

Meagan Marie Fergen, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1275256349
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20491 Issued in FL
Practice address
1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378
Phone
(646) 450-7748
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW20491 FL Primary
Clinical Social Worker 1041C0700X 089.0135625 VT
Clinical Social Worker 1041C0700X 13802 CT

Addresses

Primary practice location

1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378

Mailing address

134 N 4TH St
Brooklyn, NY 11249-3296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VT, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240112004175 FL Practitioner - Clinical Social Worker 8820440910 Reassigns benefits to 2 organizations
I20240125000792 VT Practitioner - Clinical Social Worker 8820440910 Reassigns benefits to 1 organization
I20240405000191 CT Practitioner - Clinical Social Worker 8820440910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saible Neuropsychology LLCGroup PAC ID 7517382013, 6 clinicians

Practice addresses (Care Compare)

360 Central Ave
Suite 1230
St Petersburg, FL 33701-3865
Phone (727) 565-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW20491FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valera Medical, P.a. Clinical CurrentSince Jan 1, 2024 Accepting new patients
Saible Neuropsychology LLC CurrentSince Jul 25, 2024 Accepting new patients
Meagan Fergen LCSW, LLC Clinical Past Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489

360 Central Ave
Ste 1230
St Petersburg, FL 33701
Phone (727) 565-2424

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

1 Lawson Ln
Ste 200D
Burlington, VT 05401
Phone (802) 236-6742

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1275256349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEMBROOK DR STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106378",
            "telephone_number": "646-450-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGEN",
        "first_name": "MEAGAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2024-03-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20491",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0135625",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.