Jennifer Lee Ferguson, CADC, LSW
Individual provider Active NPI Clinical Social Worker · Monmouth, IL
NPI 1457520785 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1457520785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.017885 (IL)
- Practice address
- 1122 S 4TH St
Monmouth, IL 61462-2734 - Phone
- (309) 734-2813
- NPI assigned
- Feb 20, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IL, IA, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250630000902 | IL | Practitioner - Clinical Social Worker | 6002329471 | Reassigns benefits to 2 organizations |
| I20260203001083 | IA | Practitioner - Clinical Social Worker | 6002329471 | Reassigns benefits to 1 organization |
| I20260209000268 | MN | Practitioner - Clinical Social Worker | 6002329471 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26742 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 007831 | IA | MD | Clinical Social Worker |
| 149.017885 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pawprint Pathway Counseling, PLLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
| Mental Health Specialty Group PA | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
Locations
699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920
332 S Michigan Ave
Chicago, IL 60604
Phone (773) 633-7479
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 26742 | IL | |
| Clinical Social Worker | 1041C0700X | 34961 | MN | |
| Clinical Social Worker | 1041C0700X | 007831 | IA | |
| Clinical Social Worker | 1041C0700X | 149.017885 | IL | Yes |
Addresses
Primary practice location
1122 S 4TH St
Monmouth, IL 61462-2734
Mailing address
1122 South 4TH Street
Pawprint Pathway Counseling, PLLC
Monmouth, IL 61462
Phone (309) 734-2813
Other names
- Jennifer Lee Richardson
Other providers in Monmouth, IL
- Dr Byung Il Hyun MD
- Sarah Elizabeth Dravis
- DRS. Distin & Doyle, Optometrists
- Nancy Elsharkawy
- Sheila Raedine Feaster
- Fresenius Medical Care Monmouth, LLC
- Amy Gaule
- Jordan Aleece Gehrig
- Hana Getahun
- Tonya Renee Gibbs
All providers in Monmouth, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.