| Lori J. Ferguson, Lcsw, Llc | |
|
246 Federal Rd Ste D22 Brookfield CT 06804-2650 | |
| (914) 772-2481 | |
| (914) 885-1730 |
| Full Name | Lori J. Ferguson, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 246 Federal Rd Ste D22, Brookfield, Connecticut |
| Authorized Official Name and Position | Lori J Ferguson (OWNER) |
| Authorized Official Contact | 9147722481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori J. Ferguson, Lcsw, Llc 65 Aunt Hack Rd Danbury CT 06811-2720 Ph: (914) 772-2481 | Lori J. Ferguson, Lcsw, Llc 246 Federal Rd Ste D22 Brookfield CT 06804-2650 Ph: (914) 772-2481 |
| NPI Number | 1770913253 |
|---|---|
| Provider Enumeration Date | 11/19/2013 |
| Last Update Date | 04/29/2016 |
| Medicare PECOS PAC ID | 1153615927 |
|---|---|
| Medicare Enrollment ID | O20160802003007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770913253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 003381 (Connecticut) | Primary |
| Provider Name | Lori J Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518005990 PECOS PAC ID: 9537117452 Enrollment ID: I20050107000294 |
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