Kathryn Jill Ferguson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011999 Issued in VA

Practice address

705 Las Olas CT
Chesapeake, VA 23322-6905

Phone

(757) 477-7452

NPI assigned

Aug 31, 2020

Last updated

Aug 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beach Counseling Center LLCGroup PAC ID 5496172983, 7 clinicians

Jewish Family Service of Tidewater, IncorporatedGroup PAC ID 2365356169, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beach Counseling Center LLC

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1336510254

  Clinical

  Medicare reassignment Care Compare group NPD
• Jewish Family Service of Tidewater, Incorporated

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1124088638
  Medicare reassignment Care Compare group NPD
• Jewish Family Service of Tidewater, Incorporated

  • Home Health Agency
  • Virginia Beach, VA
  • NPI 1790791176
  NPD

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1437763216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 LAS OLAS CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226905",
            "telephone_number": "757-477-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 LAS OLAS CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226905",
            "telephone_number": "757-477-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KATHRYN",
        "middle_name": "JILL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleksandra Fentress, BCBA
• Angela Ferebee, MD
• Grace Leanne Ferebee
• Antoinette White Ferguson
• Brittany Ferguson, ATC, PES
• Kimberly Ferguson, DPT
• Kimberly Maxine Ferguson, LMT
• Stacey Fernandes, PHD, LPC
• Zenia Fernandes
• Camile Fernandez Martinez

• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.