Individual provider Active NPI

Stephanie Wesch Ferguson, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1801917414
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09040006479 Issued in VA
Practice address
2819 N Parham Rd Ste 130
Richmond, VA 23294-4425
Phone
(804) 677-2150
NPI assigned
Apr 2, 2007
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 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 09040006479 VA Primary

Addresses

Primary practice location

2819 N Parham Rd Ste 130
Richmond, VA 23294-4425

Mailing address

9513 Stonemeadow CT
Glen Allen, VA 23060-3880
Phone (804) 433-9969

Other practice location 1

9513 Stonemeadow Ct
Glen Allen, VA 23060-3880
Phone (804) 433-9969

Other practice location 2

7760 Shrader Rd Ste B
Richmond, VA 23228-2552
Phone (804) 591-0002

Other names 1

  • Stephanie Dian Wesch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20241114000734 VA Practitioner - Clinical Social Worker 8224562152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

719 N 25TH St
Richmond, VA 23223-6539
Phone (804) 780-0840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09040006479VAMDClinical Social Worker
0904006479VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon J Harris East End Community Health Center Current Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince Jul 1, 2024 Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince Jul 1, 2024 Accepting new patients

Locations

1500 N Lombardy St
Richmond, VA 23220
Phone (757) 619-6160

2025 E Main St
Ste 105
Richmond, VA 23223
Phone (804) 253-1968

2809 North Ave
Richmond, VA 23222
Phone (804) 321-2403

2809 North Ave
Ste 206
Richmond, VA 23222
Phone (804) 525-1818

719 N 25th St
Richmond, VA 23223
Phone (804) 253-1969

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBDAA

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, 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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1801917414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9513 STONEMEADOW CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603880",
            "telephone_number": "804-433-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 N PARHAM RD STE 130",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944425",
            "telephone_number": "804-677-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9513 Stonemeadow Ct",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230603880",
            "country_code": "US",
            "telephone_number": "804-433-9969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7760 Shrader Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232282552",
            "country_code": "US",
            "telephone_number": "804-591-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "STEPHANIE",
        "middle_name": "WESCH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "09040006479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WESCH",
            "middle_name": "DIAN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.