Laurie Kathryn Ferguson, PH.D., LCSW, LMFT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3907 Issued in WI

Practice address

200 S Washington St
Suite 306
Green Bay, WI 54301-4343

Phone

(920) 437-7884

Fax

(920) 884-0005

NPI assigned

Mar 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1679534556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S WASHINGTON ST",
            "address_2": "SUITE 306",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014343",
            "telephone_number": "920-437-7884",
            "fax_number": "920-884-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WASHINGTON ST",
            "address_2": "SUITE 306",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014343",
            "telephone_number": "920-437-7884",
            "fax_number": "920-884-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "LAURIE",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3907",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39619600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Lind Fenster, MD
• Michael Sherman Fentress
• Peter Fergus, M.D.
• Todd S Fergus, MD
• Brooke A Ferguson, DPT
• Marsha Ferguson
• Maria G Fernandez Manrique, MD
• Cody J Fero, APSW
• Paula Lynn Ferron, APNP
• Derrick J Ferry, NP

• Clinical Social Worker in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.