Individual provider Active NPI

Patricia Janelle Ferguson, LICSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1497377238
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60498285 Issued in WA
Practice address
421 W Riverside Ave Ste 340
Spokane, WA 99201-5092
Phone
(509) 998-3844
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60498285 WA Primary

Addresses

Primary practice location

421 W Riverside Ave Ste 340
Spokane, WA 99201-5092

Mailing address

1922 W Jay Ave
Spokane, WA 99208-6771
Phone (509) 998-3844

Other practice location 1

16528 E Desmet Ct Ste 2100
Spokane Valley, WA 99216-3522
Phone (509) 944-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20200625002087 WA Practitioner - Clinical Social Worker 6204258981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellness Therapies LLCGroup PAC ID 8426384124, 7 clinicians

Practice addresses (Care Compare)

16528 E Desmet CT
Suite B2100
Spokane Valley, WA 99216-3522
Phone (509) 944-9440

421 W Riverside Ave
Suite 1600
Spokane, WA 99201-0406
Phone (509) 481-9629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60498285WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Therapies, LLC Clinical CurrentSince Jun 12, 2020 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 10, 2024 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

421 W Riverside Ave
Ste 340
Spokane, WA 99201
Phone (509) 563-7081

421 W Riverside Ave
Ste 1600
Spokane, WA 99201
Phone (509) 481-9629

16528 E Desmet Ct
Ste B2100
Spokane Valley, WA 99216
Phone (509) 944-8840

16528 E Desmet Ct
Ste 2100
Spokane Valley, WA 99216
Phone (509) 944-9440

16528 E Desmet Ct
Ste B3100
Spokane Valley, WA 99216
Phone (509) 944-9440

Organizations & group practices 3

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1497377238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 W JAY AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086771",
            "telephone_number": "509-998-3844",
            "fax_number": "509-381-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W RIVERSIDE AVE STE 340",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992015092",
            "telephone_number": "509-998-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16528 E Desmet Ct Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992163522",
            "country_code": "US",
            "telephone_number": "509-944-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "PATRICIA",
        "middle_name": "JANELLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60498285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.