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Contact Information

JOE F FERGUSON JR, LCSW
820 S DAMEN AVE
JESSE BROWN SOCIAL WORK
CHICAGO, IL60612
 Phone: 312-569-8005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for JOE F FERGUSON JR · (Male)

NPI Number 1083007496
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 03/09/2015
Last updated 03/25/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 149016415
  • IL Medicaid 1083007496
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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