Individual provider · Type 1 NPI

Mardene Ferguson, LCSW

Clinical Social Worker · Boise, ID

NPI number 1215019294 Active

Practice location

10740 W Fairview Ave, Suite 100
Boise, ID 83713-7926

Call (208) 376-0191 Map

Fax (208) 658-6299

Mailing address

1837 E Cougar Creek Dr
Meridian, ID 83646-7343

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-1071 (ID)

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 1215019294

Mardene Ferguson, LCSW's National Provider Identifier is 1215019294, issued on Oct 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.