| John Ferguson Licsw Llc | |
|
1340 81st Ave Ne Spring Lake Park MN 55432-2116 | |
| (763) 783-4528 | |
| Not Available |
| Full Name | John Ferguson Licsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1340 81st Ave Ne, Spring Lake Park, Minnesota |
| Authorized Official Name and Position | John Ferguson (PRESIDENT) |
| Authorized Official Contact | 7637834528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Ferguson Licsw Llc 1340 81st Ave Ne Spring Lake Park MN 55432-2116 Ph: (763) 783-4528 | John Ferguson Licsw Llc 1340 81st Ave Ne Spring Lake Park MN 55432-2116 Ph: (763) 783-4528 |
| NPI Number | 1467696872 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 04/29/2009 |
| Medicare PECOS PAC ID | 8123177433 |
|---|---|
| Medicare Enrollment ID | O20090515000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467696872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | John D Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588744304 PECOS PAC ID: 8022019579 Enrollment ID: I20070125000335 |
Kids Space Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 85th Ave Ne Unit D, Spring Lake Park, MN 55432 Phone: 612-800-4509 | |
Multicultural Clinic Of Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 542 82nd Ave Ne, Spring Lake Park, MN 55432 Phone: 612-636-8926 Fax: 952-466-6787 | |
Moving Forward Assessment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 County Highway 10, 108, Spring Lake Park, MN 55432 Phone: 763-355-5092 | |
Family Strengths Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1485 81st Ave Ne, Central Centers For Family Resources, Spring Lake Park, MN 55432 Phone: 763-780-3036 Fax: 763-780-0784 | |
Recovery Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 81st Ave Ne, Spring Lake Park, MN 55432 Phone: 952-495-2863 | |
Expanse Mn Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7766 Highway 65 Ne, Spring Lake Park, MN 55432 Phone: 612-296-0317 |