Ferguson, Laura Katherine
Ferguson, Laura Katherine is an individual health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Ferguson, Laura Katherine can be contacted via phone (727) 767-6706.Contact Information
Primary practice address
501 6Th Ave S
St Petersburg FL 33701-4634
Phone: (727) 767-6706
Fax: (727) 767-4715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 4576 | Florida |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | SW-4576 | Florida |
Profile Details
| NPI number | 1679629042 |
|---|---|
| LBN Legal business name | Ferguson, Laura Katherine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Feb 7th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679629042 | NPPES |
| Florida | MEDICAID | 811642300 | |
| Florida | MEDICAID | 753023400 |
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