Individual provider Active NPI

Cheryl Lynn Fergerson, DSW, LMSW, ACHP-SW

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1427709203
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8296 Issued in TN
Practice address
6215 Humphreys Blvd Ste 301
Memphis, TN 38120-2382
Phone
(901) 227-9875
Fax
(901) 763-3694
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10237 TN
Clinical Social Worker 1041C0700X 8296 TN Primary

Addresses

Primary practice location

6215 Humphreys Blvd Ste 301
Memphis, TN 38120-2382

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other names 1

  • Dr. Cheryl Fergerson Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cheryl.fergerson@bmg.md

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
8296TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Mississippi, Inc. PastSince Feb 24, 2022 Accepting new patients
BMC - Attala, LLC PastSince Feb 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1427709203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 HUMPHREYS BLVD STE 301",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202382",
            "telephone_number": "901-227-9875",
            "fax_number": "901-763-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGERSON",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DSW, LMSW, ACHP-SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "10237",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheryl.fergerson@bmg.md",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "6215 Humphreys Blvd Ste 301",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381202382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "FERGERSON",
            "prefix": "DR.",
            "credential": "DSW, LMSW, ACHP-SW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.