Active NPI
Deana Ferguson, LCSW
- Clinical Social Worker
- Knoxville, TN
National Provider Identifier
1811265978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6047
- Practice address
- 5302 Ball Camp Pike
Knoxville, TN 37921-3234 - Phone
- (865) 637-9711
- NPI assigned
- Dec 5, 2011
- Reactivated
- Feb 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8416 | TN | |
| Clinical Social Worker | 1041C0700X | 6047 | TN | Primary |
Addresses
Primary practice location
5302 Ball Camp Pike
Knoxville, TN 37921-3234
Mailing address
200 Tech Center Dr
Knoxville, TN 37912-2747
Phone (865) 637-9711
Other practice location 1
10608 Flickenger Ln
Knoxville, TN 37922-3485
Phone (865) 392-6262 ext. 4
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q015025 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8416 | TN | MD | Clinical Social Worker |
| 6047 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Solutions PLLC | Clinical | Current | Accepting new patients |
Locations
110 Perimeter Park Rd
Ste H
Knoxville, TN 37922
Phone (865) 603-5850
5401 Kingston Pike
Ste 420
Knoxville, TN 37919
Phone (865) 558-0569
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Knoxville, TN
- NPI 1952820896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1811265978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TECH CENTER DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379122747",
"telephone_number": "865-637-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5302 BALL CAMP PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379213234",
"telephone_number": "865-637-9711"
}
],
"practiceLocations": [
{
"address_1": "10608 Flickenger Ln",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379223485",
"country_code": "US",
"telephone_number": "865-392-6262 x4",
"fax_number": "865-674-5089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUSON",
"first_name": "DEANA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"deactivation_date": "2019-08-26",
"reactivation_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "8416",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "6047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q015025",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.