Individual provider Active NPI

Julie Holden Ferguson, LCSW

  • Clinical Social Worker
  • Hernando, MS
National Provider Identifier
1760919823
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0000006521 Issued in TN
Practice address
2446 Caffey St Ste 2a
Hernando, MS 38632-1710
Phone
(662) 863-4628
NPI assigned
May 18, 2017
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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 0000006521 TN Primary

Addresses

Primary practice location

2446 Caffey St Ste 2a
Hernando, MS 38632-1710

Mailing address

2446 Caffey St Ste 2a
Hernando, MS 38632-1710
Phone (662) 863-4628

Other names 1

  • Julie Christine Holden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20250425000772 MS Practitioner - Clinical Social Worker 8022360114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2446 Caffey St
Suite 2a
Hernando, MS 38632-1710
Phone (205) 901-8622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000006521TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Counseling LLC Clinical CurrentSince Feb 18, 2025 Accepting new patients

Locations

2446 Caffey St
Ste 2A
Hernando, MS 38632
Phone (205) 901-8622

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1760919823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 CAFFEY ST STE 2A",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386321710",
            "telephone_number": "662-863-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 CAFFEY ST STE 2A",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386321710",
            "telephone_number": "662-863-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JULIE",
        "middle_name": "HOLDEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0000006521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "HOLDEN",
            "middle_name": "CHRISTINE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hernando, MS

Sources for this page

Verify at the official NPI Registry.