Michael Wayne Ferguson Jr, LCSW, LISAC | |
19636 N 27th Ave Ste 106, Phoenix, AZ 85027-4014 | |
(480) 372-3286 | |
Not Available |
Full Name | Michael Wayne Ferguson Jr |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 9 Years |
Location | 19636 N 27th Ave Ste 106, Phoenix, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255781902 | NPI | - | NPPES |
LISAC-155236 | Other | AZ | LISAC |
LCSW-19807 | Other | AZ | LCSW |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-19807 (Arizona) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-155236 (Arizona) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Recovia Llc | 1456629211 | 21 |
Entity Name | Recovia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427421098 PECOS PAC ID: 1456629211 Enrollment ID: O20170620000742 |
Mailing Address | Practice Location Address |
---|---|
Michael Wayne Ferguson Jr, LCSW, LISAC 6708 W Utopia Rd Ste 1005, Glendale, AZ 85308-5507 Ph: (980) 312-4166 | Michael Wayne Ferguson Jr, LCSW, LISAC 19636 N 27th Ave Ste 106, Phoenix, AZ 85027-4014 Ph: (480) 372-3286 |
Lindsey Arendt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 N 24th St, Phoenix, AZ 85008 Phone: 602-220-6345 | |
Mrs. Solee R Cowley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0414 Fax: 602-933-4252 | |
Jennifer M Santos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1900 Fax: 602-933-0818 | |
Mr. Josue Bustos, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1101 N Central Ave Ste 200, Phoenix, AZ 85004 Phone: 602-307-5330 Fax: 602-307-5021 | |
Dominic Marco Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3450 N 3rd St, Phoenix, AZ 85012 Phone: 602-265-8338 | |
Ira Dressner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 34225 N 27th Dr, Building 5, Suite 138, Phoenix, AZ 85085 Phone: 623-523-9987 Fax: 888-343-2533 | |
Ms. Liana Dressner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34225 N 27th Dr, Building 5, Suite 138, Phoenix, AZ 85085 Phone: 623-523-9323 Fax: 888-343-2533 |