Individual provider · Type 1 NPI

Shavanda Ferguson, LCSW

Clinical Social Worker · Hollywood, FL

NPI number 1053102764 Active

Practice location

4000 Hollywood Blvd Ste 715
Hollywood, FL 33021-6755

Fax (954) 251-0451

Other practice locations

  • 8501 Windsor Dr, Miramar, FL 33025-2844 · (786) 877-6407

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW12827 (FL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053102764

Shavanda Ferguson, LCSW's National Provider Identifier is 1053102764, issued on May 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hollywood, FL. The record was last updated on Jan 5, 2026.