MARJORIE GIDWITZ-FERGUSON LCSW NPI 1730065210

NPI Information

  • NPI: 1730065210
  • Provider Name: MARJORIE GIDWITZ-FERGUSON, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 4919 BRAMBLETON AVE
    ROANOKE, VA
    ZIP 24018
  • Phone: (540) 685-4298

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NPI Details

Marjorie Gidwitz-ferguson, LCSW is a clinical social worker in Roanoke, VA. 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. Marjorie Gidwitz-ferguson, LCSW NPI is 1730065210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4919 BRAMBLETON AVE
ROANOKE, VA
ZIP 24018-149
Phone: (540) 685-4298
Fax: (540) 685-4299

The enumeration date for this NPI number is 8/12/2025 and was last updated on 8/12/2025.

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
1101YM0800XCounselorMental Health0904013451VIRGINIANo
2101YP2500XCounselorProfessional0904013451No
3106H00000XMarriage & Family Therapist0904013451VIRGINIANo
41041C0700XSocial WorkerClinical0904013451VIRGINIAYes

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
11910MEDICAIDVIRGINIA

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: 11/21/2025

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