Active NPI
Monica Ferguson, LMSW
- Social Worker
- Hattiesburg, MS
National Provider Identifier
1447094487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M11082
- Practice address
- 525 N Main St FL 3
Hattiesburg, MS 39401-3582 - Phone
- (601) 699-4080
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 156.0134244TELE | VT | |
| Social Worker | 104100000X | M11082 | MS | Primary |
Addresses
Primary practice location
525 N Main St FL 3
Hattiesburg, MS 39401-3582
Mailing address
525 N Main St FL 3
Hattiesburg, MS 39401-3582
Phone (601) 699-4080
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 |
|---|---|---|---|
| M11082 | MS | MD | Social Worker |
| 156.0134244TELE | VT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1447094487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 N MAIN ST FL 3",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394013582",
"telephone_number": "601-699-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N MAIN ST FL 3",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394013582",
"telephone_number": "601-699-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "MONICA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VT",
"license": "156.0134244TELE",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "M11082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.