Individual provider Active NPI

Alison D Ferguson, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1275757494
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005607 Issued in NC
Practice address
1508 Military Cutoff Rd
Suite 205
Wilmington, NC 28403-5730
Phone
(910) 616-9706
Fax
(910) 679-4563
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P003500 NC
Clinical Social Worker 1041C0700X C005607 NC Primary

Addresses

Primary practice location

1508 Military Cutoff Rd
Suite 205
Wilmington, NC 28403-5730

Mailing address

1508 Military Cutoff Rd
Suite 205
Wilmington, NC 28403-5730
Phone (910) 616-9706

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P003500NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Awakening Wellness Professional Corporation Clinical PastSince Aug 18, 2012 Accepting new patients

Organizations & group practices 1

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1275757494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 MILITARY CUTOFF RD",
            "address_2": "SUITE 205",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035730",
            "telephone_number": "910-616-9706",
            "fax_number": "910-679-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 MILITARY CUTOFF RD",
            "address_2": "SUITE 205",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035730",
            "telephone_number": "910-616-9706",
            "fax_number": "910-679-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ALISON",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P003500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.