Individual provider · Type 1 NPI

Christine A. Ferguson, LICDC-LISW

Clinical Social Worker · Maple Heights, OH

NPI number 1831635002 Active

Practice location

16360 Broadway Ave Ste B101
Maple Heights, OH 44137-2573

Fax (216) 510-7213

Mailing address

18320 Mapleboro Ave
Maple Heights, OH 44137-2768

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC.161363 (OH)
Social Worker 104100000XS 1201586 (OH)
Clinical Social Worker Primary 1041C0700XI.2102896 (OH)

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 1831635002

Christine A. Ferguson, LICDC-LISW's National Provider Identifier is 1831635002, issued on Jan 12, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maple Heights, OH. The record was last updated on Nov 23, 2022.