MS. SHAVANDA FERGUSON LCSW
NPI 1053102764
Social Worker - Clinical in Hollywood, FL

Q: What is Shavanda Ferguson's NPI number?

The NPI number for Shavanda Ferguson is 1053102764. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Q: What is Shavanda Ferguson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Shavanda Ferguson was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 13, 2025PECOS EnrolledAccepts Medicare Assignment

4000 HOLLYWOOD BLVD STE 715, HOLLYWOOD, FL 33021(833) 769-3524(954) 251-0451 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2026, May 13, 2025 (2 updates tracked since 2025).

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About Ms. Shavanda Ferguson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHAVANDA FERGUSON LCSW (NPI 1053102764) is an individual clinical provider in Hollywood, Florida, licensed in Florida (SW12827) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Miramar, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1053102764

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. SHAVANDA FERGUSONCredential: LCSW

Location Address4000 HOLLYWOOD BLVD STE 715Hollywood, FL 33021-6755

Mailing Address4000 Hollywood Blvd Ste 715Hollywood, FL 33021-6755 · (833) 769-3524 · Fax (954) 251-0451

Phone(833) 769-3524

Fax(954) 251-0451

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMay 13, 2025

Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1053102764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW12827

Definition

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.

4000 HOLLYWOOD BLVD STE 715, Hollywood, FL 33021

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Secondary Practice Location 1

Location 18501 Windsor DrMiramar, FL 33025-2844 · Phone (786) 877-6407

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Shavanda Ferguson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365953205

PECOS Enrollment IDI20250617002424

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.56 – $179.05

Typical copayment $0.00 (range $14.64 – $44.76)

Most-billed visit code NA

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA JEANETTE ISIDRON LMHC

Counselor (Mental Health)