Organization Active NPI

Lori J. Ferguson, LCSW, LLC

  • Clinical Social Worker
  • Brookfield, CT
National Provider Identifier
1770913253
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003381 Issued in CT
Legal business name
LORI J. FERGUSON, LCSW, LLC
Practice address
246 Federal Rd Ste D22
Brookfield, CT 06804-2650
Phone
(914) 772-2481
Fax
(914) 885-1730
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Ms. Lori J Ferguson, LCSWNPI 1518005990
Title
Owner
Phone
(914) 772-2481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 003381 CT Primary

Addresses

Primary practice location

246 Federal Rd Ste D22
Brookfield, CT 06804-2650

Mailing address

65 Aunt Hack Rd
Danbury, CT 06811-2720
Phone (914) 772-2481

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160802003007 CT Part B Supplier - Clinic/Group Practice 1153615927 Receives reassigned benefits from 1 practitioner
Practice locations: Danbury, CT

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1770913253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 AUNT HACK RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068112720",
            "telephone_number": "914-772-2481",
            "fax_number": "914-885-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE D22",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042650",
            "telephone_number": "914-772-2481",
            "fax_number": "914-885-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI J. FERGUSON, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-772-2481",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.