Charisse Nicole Ferguson, LSW, LGSW, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LG50080644 Issued in DC

Practice address

1120 Vermont Ave NW
Suite 50
Washington, DC 20005-3523

Phone

(202) 326-8985

NPI assigned

Oct 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1861820953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 VERMONT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053523",
            "telephone_number": "202-326-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 VERMONT AVE NW",
            "address_2": "SUITE 50",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053523",
            "telephone_number": "202-326-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "CHARISSE",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "LSW, LGSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05534000",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19039",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50080644",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903001958",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "085548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiatana Miche Ferguson-Square, MD
• Aaron Ferguson
• Allison Ferguson, MS, RDN
• Andra Ferguson, MA, LGPC
• Angela Rosemarie Ferguson
• Joseph Leigh Ferguson, M.D.
• Lydia Ferguson I
• Manouscca Elvie Ferguson
• Shaila Ferguson
• Shalaila Ferguson

• Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.