Ms Christine A Ferguson, LICDC-LISW is a medicare enrolled "Social Worker - Clinical" provider in Maple Heights, Ohio. Her current practice location is
16360 Broadway Ave Ste B101, Maple Heights, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 510-7170.
Ms Christine A Ferguson is licensed to practice in Ohio (license number I.2102896) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831635002.
Healthcare Provider's Profile
| Full Name | Ms Christine A Ferguson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 16360 Broadway Ave Ste B101, Maple Heights, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1831635002
- Provider Enumeration Date: 01/12/2017
- Last Update Date: 11/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537534953
- Enrollment ID: I20230417000676
Medical Identifiers
Medical identifiers for Ms Christine A Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831635002 | NPI | - | NPPES |
| 0488448 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161363 (Ohio) | Secondary |
| 104100000X | Social Worker | S 1201586 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2102896 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Christine A Ferguson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Christine A Ferguson, LICDC-LISW
18320 Mapleboro Ave,
Maple Heights, OH 44137-2768
Ph: (216) 727-6410 | Ms Christine A Ferguson, LICDC-LISW
16360 Broadway Ave Ste B101,
Maple Heights, OH 44137-2573
Ph: (216) 510-7170 |
Reviews and Comments