David W. Ferguson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004034 Issued in CT

Practice address

2 Pomperaug Office Park
Suite 202
Southbury, CT 06488-2288

Phone

(203) 888-9659

NPI assigned

May 14, 2007

Sex

Male

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 NH

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Delaware, IncGroup PAC ID 4587017363, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.ferguson.1@28623.direct.athenahealth.com

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.

• Optum Behavioral Care of Delaware, Inc

  • Counseling Psychologist
  • Nashua, NH
  • NPI 1043083595

  NH

  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Delaware, Inc

  • Counseling Psychologist
  • Wilmington, DE
  • NPI 1326810086
  Care Compare group
• Optum Behavioral Care of Delaware, Inc.

  • Clinical Social Worker
  • Portland, ME
  • NPI 1124907951
  Care Compare group
• Optum Behavioral Care of Delaware, Inc.

  • Clinical Social Worker
  • Bedford, NH
  • NPI 1336932557

  Clinical

  NPD
• The Wellspring Foundation, Inc.

  • Psychiatric Residential Treatment Facility
  • Bethlehem, CT
  • NPI 1154475184
  NPD (past)
• Family Counseling Associates of Salem Andover LLC

  • Mental Health Counselor
  • Andover, MA
  • NPI 1013246602
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457567919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273",
            "city": "BETHLEHEM",
            "state": "CT",
            "postal_code": "067510273",
            "telephone_number": "203-888-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POMPERAUG OFFICE PARK",
            "address_2": "SUITE 202",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882288",
            "telephone_number": "203-888-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "DAVID",
        "middle_name": "W.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Strong ABA LLC
• Family Strong CT
• Victoria Fanelli, MS
• Marie C Faynor, DDS
• Rachel Felcher
• Laura Ferretti, APRN
• Alexandra Brittney Ferris, LPC-A
• William Joseph Filchak, O.D.
• Julie Finkel, MS CCC SLP
• Heather Fleming, PT

• All providers in Southbury, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.