Brent Ferguson, LCSW | |
2323 Ferry St, Lafayette, IN 47904-3054 | |
(765) 270-4403 | |
(652) 704-4047 |
Full Name | Brent Ferguson |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2323 Ferry St, Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518668284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34010251A (Indiana) | Primary |
Entity Name | Valley Oaks Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689629990 PECOS PAC ID: 7315927563 Enrollment ID: O20040720001286 |
Mailing Address | Practice Location Address |
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Brent Ferguson, LCSW 2323 Ferry St, Lafayette, IN 47904-3054 Ph: (765) 270-4403 | Brent Ferguson, LCSW 2323 Ferry St, Lafayette, IN 47904-3054 Ph: (765) 270-4403 |
Carol F Cook, LCSW,MSW,ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3660 Rome Dr, Lafayette, IN 47905 Phone: 765-446-9394 Fax: 765-447-8875 | |
Mr. Randall Alan Pickering, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1116 N 16th St, Lafayette, IN 47904 Phone: 765-423-6300 Fax: 765-423-6301 | |
Soledad Kardinsmith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Farabee Dr N, Suite C, Lafayette, IN 47905 Phone: 765-588-7763 Fax: 765-423-5600 | |
Tasha Denise Snyder, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1716 Hartford St, Lafayette, IN 47904 Phone: 765-742-1567 Fax: 765-742-2750 | |
Delthea J Hill, PHD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 427 N 6th St, Lafayette, IN 47901 Phone: 765-420-0938 Fax: 765-420-8218 | |
Karen Edwards, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Main St, Lafayette, IN 47901 Phone: 765-423-2638 | |
Ms. Theresa Anne Slayton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 656a N 36th St, Lafayette, IN 47905 Phone: 765-449-1759 Fax: 765-449-1769 |