Individual provider · Type 1 NPI

Jenna Tyler Ferguson

Clinical Social Worker · Durham, NC

NPI number 1962016204 Active

Practice location

3622 Lyckan Pkwy Ste 3002
Durham, NC 27707-2572

Mailing address

1115 Berkeley St
Durham, NC 27705-3507

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP012896 (NC)

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 1962016204

Jenna Tyler Ferguson's National Provider Identifier is 1962016204, issued on Sep 3, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Durham, NC. The record was last updated on Sep 3, 2020.