Craigirita Randianne Ferguson, LCSW
Social Worker, Clinical in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1013762012
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1013762012
- Entity type
- Individual (NPI-1)
- Name
- Craigirita Randianne Ferguson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2024
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW22873 | FL | Yes |
| 101YS0200X | Counselor, School | SW22873 | FL | |
| 104100000X | Social Worker | SW22873 | FL | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | SW22873 | FL | |
| 101YM0800X | Counselor, Mental Health | SW22873 | FL | |
| 101YP2500X | Counselor, Professional | SW22873 | FL | |
| 1041S0200X | Social Worker, School | SW22873 | FL |
Practice location
2630 W Broward Blvd Ste 203-1235Fort Lauderdale, FL 33312-1314
Phone 954-673-7727
Mailing address
2720 Somerset Dr Apt 106Lauderdale Lakes, FL 33311-8502
Phone 954-673-7727
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