MICHAEL WAYNE FERGUSON LCSW LISAC NPI 1255781902

NPI Information

  • NPI: 1255781902
  • Provider Name: MICHAEL WAYNE FERGUSON, LCSW, LISAC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19636 N 27TH AVE STE 106
    PHOENIX, AZ
    ZIP 85027
  • Phone: (480) 372-3286

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NPI Details

Michael Wayne Ferguson, LCSW, LISAC is a clinical social worker in Phoenix, AZ with 9 years of experience. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Michael Wayne Ferguson, LCSW, LISAC NPI is 1255781902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19636 N 27TH AVE STE 106
PHOENIX, AZ
ZIP 85027-014
Phone: (480) 372-3286

The NPI 1255781902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Group psychotherapy (HCPCS:90853)
  • Psychotherapy, 1 hour (HCPCS:90837)
  • Psychotherapy, 45 minutes (HCPCS:90834)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 6/14/2016 and was last updated on 3/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalLCSW-19807ARIZONAYes
2101YA0400XCounselorAddiction (Substance Use Disorder)LISAC-155236ARIZONANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LISAC-155236OTHERARIZONALISAC
2LCSW-19807OTHERARIZONALCSW

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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