Individual provider · Type 1 NPI

Michael Wayne Ferguson Jr., LCSW, LISAC

Clinical Social Worker · Smyrna, GA

NPI number 1255781902 Active

Practice location

504 Tackett Farms Rd
Smyrna, GA 30082-3918

Other practice locations

  • 19636 N 27th Ave Ste 106, Phoenix, AZ 85027-4014 · (480) 372-3286

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLISAC-155236 (AZ)
Clinical Social Worker 1041C0700XCSW009914 (GA)
Clinical Social Worker Primary 1041C0700XLCSW-19807 (AZ)

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 1255781902

Michael Wayne Ferguson Jr., LCSW, LISAC's National Provider Identifier is 1255781902, issued on Jun 14, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Smyrna, GA. The record was last updated on Aug 19, 2026.