Individual provider Active NPI

Lori Ferguson, LCSW

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1518005990
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003381 Issued in CT
Practice address
36 Mill Plain Rd Ste 212
Danbury, CT 06811-5111
Phone
(475) 289-2202
Fax
(475) 289-2202
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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 003381 CT Primary

Addresses

Primary practice location

36 Mill Plain Rd Ste 212
Danbury, CT 06811-5111

Mailing address

36 Mill Plain Rd Ste 212
Danbury, CT 06811-5111
Phone (475) 289-2202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050107000294 CT Practitioner - Clinical Social Worker 9537117452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36 Mill Plain Rd
Suite 307
Danbury, CT 06811-5114
Phone (475) 289-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003381CTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lori J. Ferguson, LCSW, LLC Clinical CurrentSince Apr 1, 2016 Accepting new patients
Harris Counseling LLC Past Accepting new patients

Locations

36 Mill Plain Rd
Ste 307
Danbury, CT 06811
Phone (475) 289-2202

Organizations & group practices 2

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1518005990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MILL PLAIN RD STE 212",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115111",
            "telephone_number": "475-289-2202",
            "fax_number": "475-289-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MILL PLAIN RD STE 212",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115111",
            "telephone_number": "475-289-2202",
            "fax_number": "475-289-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "LORI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.